在急性护理环境中实施一个老年友好的护理计划:克服挑战并衡量结果
Lise Cooper1, Keerti Sharma1, Brittney Daley1
1Morristown Medical Center, Morristown, NJ, United States.
概括
实施年龄友好型卫生系统 (AFHS) 4Ms框架改善了对老年人的护理. 这项质量改进计划增强了患者为中心的护理和住院患者的健康结果.
科学领域:
- 老年医学 老年医学
- 提高质量 提高科学 提高质量
- 医疗保健管理的管理
背景情况:
- 美国人口老龄化需要先进的医疗保健策略.
- 开始实施年龄友好型卫生系统 (AFHS) 4Ms框架 (重要的是什么,药物,心理辅导和流动性).
- 一个计划-做-研究-行动的质量改进方法指导了该项目.
研究的目的:
- 为了提高70岁及以上的住院成年人的护理.
- 改善在住院环境中遵守4M框架.
- 评估4M框架对患者结果和护理流程的影响.
主要方法:
- 2019年12月,在两个住院病房推出了一项由护士领导的项目.
- 干预措施包括改善患者目标的记录,减少高风险药物,预防妄想和增强移动性支持.
- 监测的关键指标是4M遵守,Beers® Criteria药物订单,妄想发病率和行走距离.
主要成果:
- 在五年内,4M的遵守率从81%增加到100%.
- 观察到Beers® Criteria药物订单的减少和行走距离的改善.
- Delirium 发病率和跌倒率保持稳定,由于教育举措,患者满意度有所提高.
结论:
- 4Ms倡议在改善老年人护理方面取得了显著的成功.
- 该计划已扩展到所有住院病房,并正在全系统实施.
- AFHS 4Ms框架是加强医院老年护理的有效模式.
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