通过使用CWILTED工具改进保护分类信息的文档
Leah Hughes1, Chelsea Barney1, Emily Bryant1
1emergency department, Dorset County Hospital NHS Foundation Trust, Dorchester, England.
概括
CWILTED工具改善了急诊部 (ED) 的分拣护士保护文件的情况. 审计证实了其对记录儿童保护关键信息的积极影响.
科学领域:
- 儿科急救医学 儿科急救医学
- 保护儿童的保护措施
- 医疗保健文档 医疗保健文档
背景情况:
- 紧急服务部门 (ED) 是识别虐待和忽视儿童的关键联系点.
- 对于ED的保护,现有的文档化实践需要改进.
- CWILTED工具是为了解决这些文档缺口而开发的.
研究的目的:
- 评估CWILTED工具对维护ED中文档质量的影响.
- 评估儿童保护的分拣护士记录的信息的改进.
- 将发现与以前的数据进行比较,并确定需要进一步改进的领域.
主要方法:
- 在2024年Dorset ED中实施CWILTED ("关注","目击者","事件","位置","时间","护送","轻微") 工具.
- 进行第二次审计,以评估工具在实施后的有效性.
- 分析与保护儿童和青少年相关的文档质量.
主要成果:
- 引入CWILTED工具证明了对保护文档的积极影响.
- 记录的与儿童保护有关的信息的质量和完整性得到了改善.
- 该研究提供了数据,支持该工具在加强ED保护实践方面的有效性.
结论:
- CWILTED工具在改善ED环境中保护信息的文档方面是有效的.
- 在分拣中解决人为因素对于有效的保护至关重要.
- 向全科医生 (GPs) 沟通ED出勤情况至关重要,以防止错过的保护问题.
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