改善埃塞俄比亚医院延迟带紧率:一个虚拟质量协作项目
Allison Judkins1, Sharla Rent2,3, Scott O Guthrie4
1University of Utah School of Medicine, Salt Lake City, Utah.
一项虚拟质量改善计划成功提高了埃塞俄比亚医院的延迟绳索紧率. 这项由同行领导的项目展示了一个可持续的模型,用于改善资源有限的环境中的新生儿护理.
科学领域:
- 新生儿护理 新生儿护理
- 质量改进 (QI) 是指提高质量的方法.
- 全球健康 全球健康
背景情况:
- 现有的QI课程往往缺乏对全球实施的持续指导.
- ECHO方法提供了远程学习和支持的框架.
- 延迟带紧 (DCC) 是新生儿关键护理的关键组成部分.
研究的目的:
- 实施使用ECHO方法的QI计划,以提高DCC费率.
- 建立一个学习社区,以持续指导和支持QA实践.
- 评估虚拟QI倡议在低资源环境中的可行性和影响.
主要方法:
- 埃塞俄比亚新生儿质量改善 (EN-QI) 项目涉及8个分娩中心.
- 进行了每月的虚拟QI培训课程和特定站点的进度跟踪.
- 为了改善DCC,制定了SMART目标,并使用控制图表分析了结果.
主要成果:
- 最初的DCC率差异很大 (7%-72%),大多数地点低于50%.
- 在六个月内,8个地点中有7个超过了50%的DCC.
- 该项目在3500多次交付中达到总体DCC率超过90%的高潮.
结论:
- 一个远程的,虚拟的,由同行领导的QI计划有效地提高了亚的斯亚贝巴的DCC费率.
- 当地QI团队成功地采用并维持了DCC实践.
- 在低资源环境中,EN-QI模型对其他QI举措具有前景.
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