麻醉后患者在前24小时内发生的临床事件的动态和趋势:质量改善项目
Hollie Thornton1, Jacque Crosson2
1Main PACU, Mayo Clinic, Phoenix, AZ.
概括
手术后的临床事件,特别是低血压,经常发生在麻醉后的24小时内,导致快速响应的护士激活. 预防低血压是减少这些事件和改善患者护理的关键.
科学领域:
- 麻醉学 麻醉学
- 提高质量 提高质量
- 患者安全 患者安全
背景情况:
- 手术后的临床事件会影响患者的治疗结果.
- 了解事件模式对于质量改进至关重要.
研究的目的:
- 分析麻醉后的前24小时内临床事件的数量,类型,严重程度和时间.
- 确定导致快速响应护士激活在麻醉后患者的因素.
主要方法:
- 医疗记录和数据库审计的回顾性审查.
- 在麻醉结束后24小时内收集的临床事件,干预和患者处置数据.
- 专注于快速响应护士 (RRN) 在麻醉后护理单位 (PACU) 管理的患者.
主要成果:
- 610名患者在PACU中经历了临床事件;333人导致RRN激活.
- 低血压是最常见的事件和RRN激活触发器.
- 大多数RRN激活 (30.3%) 发生在麻醉后6-12小时.
结论:
- 调查结果为护理实践和高急性患者的教育提供了信息.
- 预防术后低血压可以显著减少RRN激活.
- 确定了在麻醉后护理质量改善的领域.
相关概念视频
Cardiomyopathy VII: Pre and Post Operative Nursing Management
285
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
285
Peripheral Artery Disease V: Postoperative Nursing Management
376
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
376
Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
Methods of Documentation VI: Case Management Model
857
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
857
Nursing Assessment
9.0K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
9.0K
Health Information Technology and Healthcare Information System
3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K

