改善了儿科第二期麻醉后出院评分工具的文档:质量改进项目
Amy Berardinelli1, Katelyn Howell2, Margaret Allen3
1Perioperative Services, Akron Children's Hospital, Akron, OH.
概括
一个新的标准化评分工具改善了在门诊外科手术中的儿科出院准备性评估. 儿科准备出院 (P-REDI) 工具的注册护士使用率为78.4%,确保了安全的患者过渡.
科学领域:
- 周围麻醉 护理 护理
- 提高质量 提高科学 提高质量
- 儿科医疗保健 儿科医疗保健
背景情况:
- 美国周围麻醉护士协会倡导标准化出院评分工具,以确保安全的患者过渡.
- 一家独立的儿科医院发现,缺乏标准化工具来评估儿童在门诊手术后是否准备出院.
- 这一差距凸显了需要一个一致的,客观的方法,以确保在麻醉后的护理过渡期间的患者安全.
研究的目的:
- 实施标准化的出院评分工具,以确保儿童门诊手术患者的安全,一致和高效的患者护理.
- 用客观的,基于证据的工具来取代主观的护理评估,以确定出院准备.
- 增强在周围麻醉环境中为儿科患者提供护理的过渡.
主要方法:
- 一个质量改进 (QI) 项目利用了国际医疗保健改进的变革模式.
- 包括麻醉师和护士在内的多学科团队实施了儿科准备出院 (P-REDI) 工具.
- 干预包括团队会议,员工教育,激励和工具使用的持续评估.
主要成果:
- 在5个月内,注册护士使用P-REDI工具的比例从0%增加到持续的78.4%.
- 关于P-REDI工具的讨论发生在83%的月度工作人员会议上.
- 从门到出院的平均逗留时间和第二阶段逗留时间保持一致.
结论:
- 该QI项目成功地促进了员工在周围麻醉环境中的安全出院评分工具的参与.
- 实施标准化的I期和II期出院评分工具可以提高周围麻醉护理的安全性和效率.
- 这些工具的更广泛整合可以导致基于证据的实践和全球更顺的患者回家过渡.
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