改善出院药物教育:考虑健康素养和语言
Stephanie S Squires1, Alaina K Kipps1, Sheila Gamuciello2
1Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California.
Hospital pediatrics
|July 7, 2025
概括
一种新的药物坚持援助 (MAA) 改善了医疗复杂性的儿童的出院护理,增加了非英语家庭的获取. 这种以患者为中心的方法提高了住院后的药物安全性.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 患者安全 患者安全
- 卫生识字 卫生识字
- 健康差异 在健康上的差异
背景情况:
- 在住院后的儿童中,药物错误很常见,特别是那些有医疗复杂性的儿童.
- 风险因素包括父母的低健康素养和非英语首选语言 (LOE).
- 出院药物清单往往需要改进,以便父母更好地理解.
研究的目的:
- 开发和实施低健康素养,语言一致的出院药物坚持援助 (MAA).
- 为超过95%从急性护理心脏病科 (ACCU) 出院的患者提供MAA.
- 改善药物服药,减少弱势儿科群体的错误.
主要方法:
- 一个多学科的团队开发了一个床边护士产生的MAA干预.
- 该MAA的设计是低健康素养和语言一致.
- 医疗记录审查追踪了MAA供应的每周平均值;统计过程控制图表分析了趋势.
主要成果:
- 在六个月内,随着MAA出院的患者的每周平均数量从21%增加到75%.
- 这种改善的速度持续从2022年7月到2023年10月.
- 语言一致的MAA提供是公平的,76%的LOE患者和74%的英语优先患者接受了MAA.
结论:
- 一个语言一致的,患者友好的MAA成功地实施了75%的退院家庭从ACCU.
- 在一个小的护理小组中试点进行干预,提高了实施和可持续性.
- 这项干预表明,成功的策略是改善药物安全性,用于各种儿科患者在出院后.
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