一个多学科的倡议改善了精神病患者的护理,他们在急诊室入院
Joshua J Davis1,2, Minh Khuc1, Adria Bolack3
1Emergency Department, Vituity, Wichita, KS.
概括
一项质量改进倡议通过减少分拣时间和患者逃跑来加强精神病紧急护理. 这种多学科的方法提高了急救部门 (ED) 的效率和资源使用.
科学领域:
- 紧急医疗 紧急医疗
- 精神病学护理 精神病学护理
- 提高质量 提高质量
背景情况:
- 紧急诊所 (ED) 在管理精神病患者方面面临重大挑战.
- 延长登机时间和延迟治疗是常见的问题.
- 需要提高精神病紧急护理的效率和资源利用.
研究的目的:
- 实施和评估一个多学科质量改进倡议.
- 加强ED环境中的精神病患者的护理.
- 减少ED登机时间并改善患者的治疗结果.
主要方法:
- 进行了一项单一机构的质量改进倡议.
- 采用了一个多学科的团队方法.
- 重点是提高精神病患者的效率和资源使用.
主要成果:
- 到分类的时间减少了23% (30到23分钟).
- 没有治疗离开的患者从6.5%降至4.2%.
- 激发药物治疗的时间减少了24.9% (3.0至2.2小时).
- 住院患者的ED登机时间减少了10.9%.
- 身体束的使用和总束时间显著减少.
- 出院患者的ED停留时间略有增加 (9.9%).
结论:
- 结构化,以团队为基础的干预可以显著改善精神病紧急护理.
- 该倡议在关键绩效指标方面取得了改进.
- 结果显示,在2年的随访期间,可变的可持续性.
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