在麻醉前手术采访期间识别有食品不安全风险的患者
Peter J Caraballo1, Gina M Edwards2, Virginia C Simmons1
1School of Nursing, Duke University, Durham, NC.
概括
麻醉团队可以在手术前的采访中识别食物不安全 (FI). 这项质量改进项目加强了预麻醉检测诊所的FI查,识别了有风险的患者,以获得资源连接.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 粮食不安全是健康的重要社会决定因素,增加了慢性疾病的风险.
- 在麻醉环境中,FI查未得到充分利用,导致错过了识别风险人群的机会.
- 术前麻醉面试为FI识别和干预提供了一个关键的窗口.
研究的目的:
- 评估和加强食品不安全查实践在预麻醉检测 (PAT) 诊所.
- 将FI查纳入标准的手术前麻醉工作流程中.
- 识别经历粮食不安全的患者,并将他们与基本资源联系起来.
主要方法:
- 采用了干预前和干预后质量改进项目设计.
- 进行了电子健康记录修改,以显示查状态和自动化门户查.
- 护士们接受了关于经过验证的饥饿生命体征查的教育,有风险的患者获得了资源包.
主要成果:
- 在859名符合条件的患者中,有614人 (72%) 接受了食品不安全查.
- 护理人员对71%的患者进行了查,而29%的人通过患者门户进行了查.
- 54名患者的FI查结果呈阳性,其中22人接受了资源包;人口统计数据显示对特定群体的影响不成比例.
结论:
- 麻醉术前面试是一个有效的机会,用于识别面临粮食不安全风险的患者.
- 特定的人口群体,包括女性和黑人或非裔美国人,受到FI的影响不成比例.
- 持续的查和资源提供至关重要,可能需要参与风险患者的病例管理.
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