在多家医院实施儿科尾炎途径:质量改进项目
Anna M Lin1, Teerin Meckmongkol2, Fari Fall3
1Division of Pediatric Surgery, Nemours Children's Health, Wilmington, DE, United States.
在儿童医院系统中实施标准化尾炎护理途径减少了住院时间和阿片类药物处方. 这一举措改善了尾切除术的结果,但并没有增加患者返回急诊室的次数.
科学领域:
- 儿科手术 儿科手术
- 医疗保健管理的管理
- 临床途径 临床途径
背景情况:
- 尾炎的标准化护理途径最大限度地减少了实践的变化,并优化了资源配置.
- 该项目在德拉华州 (NCH-DE) 和佛罗里达州 (NCH-FL) 的尼莫尔斯儿童医院实施了一条企业范围的尾炎途径.
研究的目的:
- 通过对尾炎的标准化,多医院护理途径来改善尾切除结果.
- 评估该途径对逗留时间 (LOS),麻醉药物处方和回访的影响.
主要方法:
- 一个多学科的团队开发了一个标准化的途径,包括抗生素选择,出院标准和阿片类药物节约性止痛.
- 评估了LOS,麻醉剂处方和返回急诊室 (ED) 访问1年前后实施.
- 使用特殊原因变异 (SCV) 分析来评估LOS的变化.
主要成果:
- 停留时间 (LOS) 在NCH-FL的无并发症和并发症尾炎中显著下降,符合SCV标准.
- 在NCH-FL的麻醉剂处方在实施后从35%降至0%;NCH-DE率保持在0%的稳定水平.
- 在整个系统中,没有观察到返回急诊室或再入院的增加.
结论:
- 尾炎护理途径可以在多医院儿童系统中成功扩展和实施.
- 该途径有效地降低了在出院时的LOS和麻醉剂处方.
- 实施并没有导致患者返回医疗保健系统的增加.
更多相关视频
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Hospitals-II
Nurses that work in...
