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利用儿科复苏团队成员的反来提高护理质量
Erin Mills1,2, Jessica Nooney1,2, Annmarie Bermundo1,2
1Department of Paediatrics, School of Clinical Sciences, Monash University, Melbourne, Victoria, Australia.
在急诊室 (ED) 进行儿科复苏后,工作人员的反发现了系统的改进. 这种专注于成功和失败的方法提高了患者的安全和护理质量.
科学领域:
- 紧急医疗 紧急医疗
- 儿科重症监护 儿科重症监护
- 提高质量 提高科学 提高质量
背景情况:
- 在急诊室 (ED) 的儿科复苏是高压事件.
- 传统的审查侧重于糟糕的结果,可能错过的学习机会.
- 安全II方法考虑了所有经验,以提高护理质量.
研究的目的:
- 在ED的儿科复苏后,从工作人员的反中确定主题.
- 描述由于这种反而实现的系统变化.
主要方法:
- 一个前性质量改进研究超过31个月在一个三级儿科ED.
- 员工调查收集了有关成功和需要改进的领域的反.
- 使用有针对性的内容分析和感应性的专题分析,随后在部门会议上进行讨论.
主要成果:
- 在89个儿科复苏病例中,来自256名工作人员的1320个反项目.
- 在团队,环境和任务/技术中确定的主要主题.
- 实施的改进包括运输检查清单,呼吸道聚集和标准化药物准备.
结论:
- 不同步的员工反在整个卫生系统中确定了可采取行动的主题.
- 这些反被成功转化为以系统为中心的改进.
- 这项研究证明了安全II方法在改善儿科复苏质量的价值.
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