"思考饮料"方法以尽量减少不必要的手术前禁食:18年的审计经验
Katarzyna A R MacDougall1, Shahnoor E S Bushra1, Santhana G Kannan1
1Sandwell General Hospital, Lyndon, West Bromwich B71 4HJ.
Korean journal of anesthesiology
|March 31, 2025
概括
实施"思考饮酒"策略显著减少了手术前患者的禁食时间. 这涉及允许透明液体直到手术室前,改善患者的护理和安全.
科学领域:
- 在外科手术期间的医学.
- 手术患者护理手术患者护理
- 麻醉学 麻醉学
背景情况:
- 目前的禁食指南允许在手术前2小时内清洁液体.
- 审计发现了持续的违规行为,导致长时间的手术前流体禁食时间.
- 本研究研究了自2004年以来的机构禁食做法和干预结果.
研究的目的:
- 评估旨在减少长时间的手术前流体禁食的干预措施的有效性.
- 评估"思考饮料"方法对患者禁食时间的影响.
- 确定维持缩短禁食时间的策略.
主要方法:
- 审查2004年,2008年,2018年,2021年和2022年进行的机构审计.
- 专注于清洁液体的中位数禁食时间.
- 识别成功的干预措施,包括"Think Drink"倡议和员工教育.
主要成果:
- 最初的平均禁食时间超过了7-8小时.
- 引入"思考饮料" (允许喝水直到戏剧召唤) 将禁食时间减少到2小时15分钟.
- 通过持续的教育和强化实现了持续减少到2小时,没有报告的渴望或反事件.
结论:
- "思考饮料"方法有效地减少了不必要的手术前流体禁食.
- 持续的成功需要持续的员工和患者教育.
- 禁食时间应作为服务质量指标进行监测,并进行定期审计.
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