改善耳鼻喉病例的临床管理:一个使用数字工具包的多领域质量改善项目
Luke Borg1, Ryan Gauci2, Ryan Attard2
1Department of Surgery, Mater Dei Hospital, Msida, MLT.
Cureus
|October 29, 2025
概括
一个数字临床决策支持工具包显著改善了基础医生管理常见耳鼻喉紧急情况的护理质量和文档. 这项质量改进项目提高了对基于证据的基准标准的坚持和从业人员的信心.
科学领域:
- 耳鼻喉科 (ENT) 提高质量
- 数字健康干预措施 数字健康干预措施
- 医疗教育 技术 技术 医学教育
背景情况:
- 基础年度 (FY) 医生经常在有限的专业培训下管理急性耳鼻病.
- 这可能导致外耳炎,鼻子骨折,突然神经感官听力损失 (SSNHL) 和表观等疾病的护理质量和文档不一致.
研究的目的:
- 评估数字临床决策支持工具包对遵守基于证据的基准标准的影响.
- 该工具包旨在改善管理四种常见的耳鼻喉伤亡情况.
主要方法:
- 一个质量改进项目,涉及两个审计周期超过10周在一个高等中心.
- 在循环之间实施了一个数字耳,耳,耳,耳工具包网站,包含QR码访问,模板和指导方针.
- 通过审计和调查来评估遵守国际标准和员工信心.
主要成果:
- 外耳炎 (34.3%至67.7%) 和耳膜完整性方面的文献有了显著的改善.
- 改善了在麻醉下进行鼻骨折的及时操纵 (92.9%至100%),以及SSNHL (33.3%至80%) 的听力仪表表现.
- 改善了对表术的适当体使用 (87.2%至98.1%),减少了不必要的成像/抽样,提高了员工的信心和效率.
结论:
- 一个用户设计的,低成本的数字工具集有效地提高了临床质量,文档和对 ENT 伤亡实践的信心.
- 这种可扩展的模型可以使其他急性专业受益,其中包括大量初级医生.
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