实践改变的途径,以减少过程中的过程性困扰,在输入内减轻-A质量改进倡议
Rana Swed Tobia1, Tahira Daya1, Neil Desai1
1Department of Pediatrics, University of British Columbia, Vancouver.
Pediatric emergency care
|December 7, 2025
概括
这项质量改进项目成功实施了一种途径,在输入受减缓期间提供疼痛和焦虑药物. 该倡议改善了没有不良事件的药物供应率,提高了儿科手术护理.
科学领域:
- 儿科急救医学 儿科急救医学
- 提高质量 提高科学 提高质量
- 程序性镇静和止痛疗法
背景情况:
- 肠受体减少通常会导致患者的痛苦,需要有效的疼痛和焦虑管理.
- 尽管有证据支持它们的安全性,但在输入缩减缓解期间使用止痛药和抗焦虑药仍然不一致.
- 启动了一项质量改进计划,以标准化这种程序的药物供应.
研究的目的:
- 实施和评估一种标准化的临床途径,用于在气动减轻内肠受精时提供鼻内芬太尼和米达佐拉姆.
- 改善对接受手术的符合条件的儿科患者给予止痛药和抗焦虑药的速度.
主要方法:
- 一个多学科的团队使用计划-做-研究-行动循环开发了一个标准化的途径.
- 干预措施包括员工教育,团队参与和流程优化.
- 关键结果措施集中在途径提供,疼痛/镇静得分和不良事件.
主要成果:
- 疼痛缓解和焦虑缓解的途径供应在一年内从0%增加到100%.
- 在82%的计划案例中,成功实现了气动减速.
- 没有记录任何严重的不良事件或肠道穿孔,100%的途径符合.
结论:
- 这项质量改进倡议有效地增加了为小儿内减缓提供止痛和焦虑溶解的服务.
- 结构化方法增强了程序性疼痛管理,而不会影响患者的安全.
- 该项目提供了一个可扩展的模型,用于改善紧急情况下的儿科手术护理.
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
428
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
428
01:25Endoscopic Procedures II: Colonoscopy
568
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
568
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
519
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
519
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
789
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
789
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
617
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
617
01:25Assessment of the Rectum and Anus
1.0K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.0K