优化策略来管理难以进入的静脉输入
Ahmed Alaaeldin Saad1, Mecit Can Emre Simsekler1, Sundos Ahmed2
1Department of Management Science & Engineering, Khalifa University of Science & Technology, Abu Dhabi, United Arab Emirates.
难以静脉注射 (IV) 接入带来挑战,但结构化的途径和高级培训可以提高成功率. 数据驱动的策略是提高患者护理和管理IV接入并发症的效率的关键.
科学领域:
- 医疗保健管理的管理
- 临床护理 临床护理
- 患者安全 患者安全
背景情况:
- 难以静脉注射 (IV) 接入 (DIVA) 是一个重要的医疗保健挑战,导致延迟和不良结果.
- 导致DIVA的因素包括患者状况和与提供者相关的问题.
- 一种结构化,数据驱动的方法对于解决DIVA至关重要.
研究的目的:
- 检查IV接入并发症的根本原因,患病率和分布.
- 评估升级路径和数据驱动策略的影响.
- 提高IV成功率,提供者培训和流程标准化.
主要方法:
- 在2023年6月至12月期间,在谢赫沙赫布特医疗城 (SSMC) 对311名DIVA患者的回顾性分析.
- 从电子医疗记录 (EMR) 和重症监护外联护士 (ICON) 咨询表格中收集的数据.
- 采用了一种新的IV升级路径和数据收集的文档系统.
主要成果:
- 74.6%的ICON辅助患者有DIVA病史,癌症和脏疾病是常见的.
- ICONs首次成功率达到了68.8%,这表明需要改善楼层护士培训.
- 57.3%的ICON咨询发生在标准时间之外,突出了资源挑战.
结论:
- 结构化的升级路径和高级护士培训对于管理DIVA至关重要.
- 建议包括一个专门的IV接入团队,超声波导导管和预测分析.
- 实施这些策略可以提高患者的治疗结果和医疗保健效率.
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