通过质量改善倡议,改善城市门诊外科中心的安全温度调节实践
Jamie M Young1, Kimberly Couch2
1Biobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, WA.
概括
实施常温护理套餐显著提高了患者的安全性,将安全的温度调节从62%提高到92%. 这项质量改进计划有效降低了外科手术期间低温风险.
科学领域:
- 提高护理质量的提高护理质量的提高
- 患者安全 患者安全
- 在外科手术后的护理
背景情况:
- 意外的外科手术期间低温 (核心温度<36°C) 存在风险,但是可以预防的.
- 坚持临床实践对护理干预的建议是预防低温的关键.
研究的目的:
- 实施质量改善倡议,以加强外科手术期间的温度调节实践.
- 在城市门诊外科手术中心,在8周内实现80%的安全温度调节协议的遵守率.
主要方法:
- 一个快速循环质量改进项目使用了"计划-做-研究-行动"模式.
- 通过图表审查 (PreOp和PACU审计工具) 收集的定量数据.
- 每两周一次的变化测试以数据和现场笔记为依据;团队参与调查干预前后.
主要成果:
- 安全温度调节率从62%增加到92%,超过了80%的目标.
- 预期和PACU加热包被认为是最有效的干预措施.
- 员工对临床实践建议的了解和感知的工作量有所改善.
结论:
- 常温护理包对于保持安全的外科手术前温度调节是有效的.
- 这些包装增强了员工的知识,并减少了与正常热量管理相关的感知工作量.
- 成功实施证明了针对性质量改善举措在外科环境中的价值.
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