在创伤重症监护室减少身体限制:质量改善倡议
Briana R Miller1, Lauren M Leppert, Elisabeth D Tucker
1Author Affiliations: Department of Nursing Administration and Trauma Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina.
概括
一项质量改善计划显著减少了创伤重症监护病房的身体限制使用. 该研究发现,在员工接受了关于替代方案的教育后,克制发作较少,总克制时间减少.
科学领域:
- 创伤重症监护室的创伤重症监护室
- 患者安全 患者安全
- 提高质量 提高质量
背景情况:
- 身体限制与患者的负面结果有关.
- 有限的研究存在于创伤重症监护室中有效的限制降低策略.
研究的目的:
- 评估一项旨在减少创伤重症监护室患者使用身体束的多组件计划.
- 评估有针对性的教育和障碍物识别对限制实践的影响.
主要方法:
- 在一级创伤中心ICU进行了干预前后质量改善项目.
- 分析了422次身体限制事件的数据,并比较了两个四个月的时间.
- 工作人员调查评估了干预之前和之后的感知.
主要成果:
- 干预后,身体克制的时间减少了13.9%,克制发作减少了16.6%.
- 40名临床工作人员参加了关于限制使用的调查.
结论:
- 一个多元组件计划有效地减少了创伤重症监护室的身体限制使用.
- 识别障碍物和教育工作人员的替代方案导致了更少的克制情节和时间.
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