实施标准化套餐,预防成人非呼吸器医院感染的肺炎
Sarah W Rickard1, Jennifer Drake, Mary-Michelle M Viars
1Sarah W. Rickard is a clinical nurse educator at Sutter Eden Medical Center in Castro Valley, CA. Jennifer Drake is a clinical educator for onboarding at Inova Alexandria Hospital in Alexandria, VA. Mary-Michelle M. Viars is an RN unit supervisor at Inova Mount Vernon Hospital in Alexandria, VA, where Jackie R. Ely is a physical therapist. Shanta P. Subedi is an RN-5 at Inova Fairfax Medical Campus in Falls Church, VA, where Shova Mahat is an RN-4 and RN unit supervisor and Megan M. Hathaway is a speech language pathologist. Megan E. Zimmerman is an occupational therapist at Penn State Health Milton S. Hershey Medical Center in Hershey, PA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Maureen Kirkpatrick McLaughlin is an implementation science consultant in Charles Town, WV. Kathleen Russell-Babin is an independent consultant in Millstone Township, NJ. Contact author: Kathleen Russell-Babin, kathleen.russell-babin@inova.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
实施科学 (IS) 有助于维持基于证据的实践. 一个由护士领导的团队使用IS在三个医院单位实施了肺炎预防包,减少了医院获得的肺炎.
科学领域:
- 实施科学 实施科学
- 改善医疗保健质量 改善医疗保健质量
- 护理研究研究护理研究
背景情况:
- 在临床环境中维持基于证据的实践是具有挑战性的.
- 实施科学 (IS) 提供了克服这些挑战的框架.
- 在医院获得的非呼吸器肺炎 (NV-HAP) 仍然是一个严重的患者安全问题.
研究的目的:
- 描述护士领导的团队如何应用IS概念和工具.
- 详细实施标准化护理包,以减少NV-HAP的使用.
- 报告在多站点卫生系统中实施基于证据的干预的过程.
主要方法:
- 使用的IS概念,方法和工具.
- 采用护士领导的团队方法.
- 在三个成人住院病房单位实施了标准化的护理包.
主要成果:
- 成功实施了一套标准化的护理包.
- 在现实世界临床环境中展示了IS的应用.
- 旨在减少NV-HAP的发生率.
结论:
- 信息系统有助于维持基于证据的实践.
- 护士主导的倡议可以有效地利用IS来提高质量.
- 在IS的指导下,标准化的护理包可以改善患者的治疗结果.
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