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干预措施,以减少医疗保健利用非英语语言偏好患者的桃体切除术后的患者
Meredith Lind1,2, Kristyn Moss3, Thomas Javens4
1Department of Otolaryngology, Ohio State University, Columbus, Ohio, USA.
干预措施显著减少了桃体切除术后非英语语言偏好患者的急诊室访问. 这项质量改善计划改善了这一群体的结果,并减少了对医疗保健的使用.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
背景情况:
- 与英语语言偏好 (ELP) 患者相比,非英语语言偏好 (NELP) 患者面临更高的术后并发症和医疗利用风险.
- 在ELP和NELP患者组之间存在桃体切除术结果和医疗保健利用差异.
研究的目的:
- 实施和评估一系列旨在减少急诊室 (ED) 或急诊室 (UC) 在桃体切除术后的NELP患者使用的干预措施.
- 改善术后结果,并降低接受桃体切除术的NELP患者的医疗费用.
主要方法:
- 一项在2019年至2024年期间在一家三级儿科医院进行的质量改进研究.
- 干预措施包括增强翻译的教育材料,疼痛跟踪图表,口译员访问,标准化手术技术和例行护士后续电话.
- 主要结局:在桃体切除术后的30天内,同一天的ED/UC恢复. 收集的人口统计,语言,手术类型和返回原因的数据.
主要成果:
- 总共进行了14007次桃体切除术 (91.6%的ELP,8.4%的NELP).
- 干预后,NELP患者在同一天的ED/UC回报率下降了70.2% (从7.73%降至2.30%).
- 在2019年 (P=.016) 两组之间ED/UC访问的最初显著差异在2023年 (P=.55) 没有出现.
结论:
- 有针对性的干预措施有效地减少了NELP患者及其护理人员在桃体切除术后不必要的ED / UC访问.
- 这些质量改善策略有可能减少并发症,改善NELP患者的术后体验,并降低医疗保健支出.
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