通过改善退院安全,减少NICU退院护理相关的故障
Lauren A Beard1, Kirtley C Ceballos2, Kerri L Staton3
1Section of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado.
新生儿重症监护室 (NICU) 退院后的护理人员培训显著减少了婴儿护理错误. 这些改进提高了婴儿安全和护理人员在出院后的信心.
科学领域:
- 新生儿护理 新生儿护理
- 质量改善举措 质量改善举措
- 患者安全 患者安全
背景情况:
- 从新生儿重症监护室 (NICU) 出院给未准备的护理人员的婴儿面临不良事件和再接收的风险.
- 有效的护理人员准备对于成功的婴儿过渡到家庭至关重要.
研究的目的:
- 实施和评估旨在提高护理人员在NICU退院后提供婴儿护理的能力的策略.
- 为了减少出院护理相关失败 (DCRFs) 和医院再入院.
主要方法:
- 一个长达7年的质量倡议涉及标准化放电 (DC) 教育,有针对性的反,DC导航员角色和DC后的电话.
- 追踪了与出院护理相关的失败 (DCRF),医院再入院以及护理人员/工作人员的准备和满意度.
- 干预措施在实施前和实施后进行了评估.
主要成果:
- 在接触的护理人员中,与退院护理相关的失败 (DCRF) 从基线的23%降至干预阶段的11%.
- 在养,氧气支持和初级保健医生 (PCP) 随访相关的DCRF中注意到了改善.
- 护理人员报告的准备度仍然很高 (≥90%),护士对DC过程的满意度从2%显著增加到67%.
结论:
- 药物,食,氧气和PCP随访中的NICU后出院错误是常见的,但可以减轻.
- 实施的干预措施成功地提高了护理人员的能力,减少了错误和潜在的婴儿伤害.
- 该研究强调了结构化支持在改善NICU后护理过渡的有效性.
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