基于PDCA循环管理模型的中风绿色通道过程的构建及其对中风预后的影响
Yingjing Yang1, Shuqin Long2, Yong Xu3
1Department of Neurology, The Second Affiliated Hospital of Guizhou Medical University Kaili 556000, Guizhou, China.
American journal of translational research
|April 14, 2025
概括
使用计划-执行-检查-行动 (PDCA) 周期实施中风绿色通道过程 (GCP) 显著改善了患者的治疗结果. 这种方法可以增强神经功能,认知能力和日常生活活动,同时减少住院和不良事件.
科学领域:
- 神经学 神经学
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 脑卒中管理需要及时干预,以获得最佳的患者预后.
- 计划-执行-检查-行动 (PDCA) 周期是持续质量改进的框架.
- 一个标准化的中风绿色通道过程 (GCP) 旨在简化急性中风护理.
研究的目的:
- 根据PDCA循环,评估一个中风绿色通道过程 (GCP) 的有效性.
- 评估基于PDCA的GCP对中风预后和临床结果的影响.
主要方法:
- 从2021年1月到2023年12月对259名中风患者的回顾性分析.
- 基于PDCA的GCP队列中的114名患者与标准护理队列中的145名患者 (非绿色通道过程,NGCP) 的比较.
- 对人口统计数据,救援指标,神经功能 (NIHSS),认知功能 (MMSE,MoCA),功能能力 (ADL,Barthel,mRS) 和不良事件的评估.
主要成果:
- 在GCP组显示显著减少分拣和CT扫描完成时间.
- 在GCP组中改善了神经和认知功能 (较低的NIHSS,较高的MMSE/MoCA得分).
- 增强功能能力和独立性 (较高的ADL/Barthel,较低的mRS分数),在GCP组中更少的转移事件和不良反应.
结论:
- 用PDCA周期管理的中风GCP的实施显著改善了中风预后.
- 基于PDCA的GCP增强了临床结果,包括神经和功能恢复.
- 这项质量改进倡议带来了更好的患者护理和减少医疗保健并发症.
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