改善团队对口唇裂和气泡患者的护理:质量改善倡议
Kayla Bruns1, Jessica Holstine2, Gregory Pearson3,4
1Nationwide Children's Hospital, Columbus, Ohio, USA.
概括
这项质量改善计划加强了跨学科团队对裂唇儿童 (CL±A) 的访问. 及时的护理显著增加,改善了接入和减少错过的预约,以获得更好的患者结果.
科学领域:
- 提高儿童医疗保健质量 提高儿童医疗保健质量
- 面异常管理管理
- 跨学科团队护理 跨学科团队护理
背景情况:
- 带有或没有裂口气囊 (CL±A) 的裂口唇儿童需要协调的跨学科团队访问.
- 访问,安排和完成这些访问可能具有挑战性.
- 优化护理提供对于管理CL±A至关重要.
研究的目的:
- 加强对患有CL±A.的儿科患者的跨学科团队访问的准入,安排和完成.
- 实施质量改善计划,使用卫生保健改善研究所的改善模式.
- 增加患有CL±A儿童及时接受裂团队护理的比例.
主要方法:
- 在一个大型儿科学术医疗中心利用了卫生保健改进研究所的改进模型.
- 实施的干预措施集中在家长/团队教育,安排程序和定制团队访问上.
- 扩大患者教育材料和增加护理人员参与护理传播.
主要成果:
- 患有CL±A的儿童在2岁之前第一次接受裂团队访问的比例从30%增加到77%.
- 错过团队访问的频率下降,从平均每20天改善到每76天.
- 对CL±A患者及时获得跨学科护理的显著改善.
结论:
- 有针对性的质量改进干预措施有效地提高了跨学科团队访问的访问,安排和完成.
- 教育,获取和协调方面的改进可靠地提高了对患有CL±A的儿童及时照顾的比例.
- 这一举措突出了优化面团队护理交付的成功模式.
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