一个实施科学方法,以促进床边跨专业的圆形化
Elizabeth Riley1, Sara E Peeples, Misty Williams
1Author Affiliations: College of Nursing, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Drs Riley, Reeves, and Schay); Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Dr Peeples); Women Infant Service Line Neonatal Intensive Care Unit, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Williams); Division of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (Dr Nienaber); and College of Pharmacy and Center for Implementation Research, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Dr Curran).
在新生儿重症监护室 (NICU) 实施床边跨专业圆形化 (BIPR) 改善了护士参与和减少了中央线路停留时间. 标准化BIPR提高了新生儿护理的质量.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 实施科学 实施科学
- 医疗保健的沟通 医疗保健的沟通
背景情况:
- 新生儿重症监护室 (NICU) 的专业间沟通缺陷可能导致患者的不良结果.
- 床边专业互补 (BIPR) 是一种改善团队沟通和患者护理的策略.
研究的目的:
- 通过实施科学框架,标准化和增加参与BIPR.
- 评估BIPR对中央线路停留时间和患者停留时间 (LOS) 的影响.
主要方法:
- 在电子健康记录 (EHR) 中实施BIPR检查清单.
- 使用的支持策略:情况,背景,评估,建议 (SBAR) 报告,员工教育,审计和反以及领导力参与.
- 分析了BIPR使用和质量指标的实施前和后数据.
主要成果:
- 在前六个月,BIPR检查清单的使用率达到了87%.
- 增加了护士在轮的参与10.5%,并减少了15小时的平均中央线路停留时间.
- 报道了圆形化过程的标准化,患者LOS没有显著变化.
结论:
- 新生儿中心可以有效地实施BIPR,使用实施科学策略来标准化圆形化和改善新生儿结果.
- 标准化的BIPR工具,员工教育,审计和反以及领导支持对NICU有益.
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