过程映射作为一个框架来定义在创伤中大规模输血中的重症护理提供步骤
Matthew A Bergens1, Jessica D Guo1, Bruce W Rogers2
1Duke University School of Medicine, Durham, NC, USA.
CJEM
|April 16, 2025
概括
流程映射为创伤患者标准化了大规模输血协议. 这项质量改进倡议确定了关键步骤和决策点,以加强患者护理,并建立绩效基准.
科学领域:
- 紧急医疗 紧急医疗
- 提高质量 提高质量
- 创伤护理 创伤护理
背景情况:
- 大规模输血协议对于管理创伤患者的出血性休克至关重要.
- 了解医疗服务的复杂性对于改善患者的治疗结果至关重要.
研究的目的:
- 利用过程映射来识别创伤患者大规模输血中的关键步骤.
- 为发展绩效指标提供信息,并加强对大规模输血的护理服务.
主要方法:
- 在一个学术急诊室使用了医疗保健改进研究所的框架.
- 与多学科工作人员进行结构化采访,并实时观察协议部署.
- 利用流程映射可视化护理交付步骤的顺序和相互依赖.
主要成果:
- 确定了17个采访和533个映射对象,产生了87页的数据.
- 突出了两个关键的临床决策点:输血和成像的启动.
- 将过程划分为初始基于协议的和随后由医生驱动的护理阶段.
结论:
- 流程映射成功地为大规模输血协议建立了标准化的流程.
- 创建的地图概述了创伤患者的关键步骤和不同的护理阶段.
- 结果为未来的质量改进和绩效测量计划提供了基准.
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