Dissemination and Implementation of Evidence Based Best Practice Across the High Value Healthcare Collaborative (HVHC) Using Sepsis as a Prototype - Rapidly Learning from Others.

Andreas Taenzer, Allison Kinslow, Christine Gorman, Shelley Schoepflin Sanders, Shilpa J Patel, Sally Kraft, Lucy Savitz
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Abstract

The dissemination of evidence-based best practice through the entire health care system remains an elusive goal, despite public pressure and regulatory guidance. Many patients do not receive the same quality of care at different hospitals across the same health care system. We describe the role of a data driven learning collaborative, the High Value Healthcare Collaborative (HVHC), in the dissemination of best practice using adherence to the 3-hour-bundle for sepsis care. Compliance with and adoption of sepsis bundle care elements comparing sites with mature vs non-mature care delivery processes were measured during the improvement effort for a cohort of 20,758 patients. Non-mature sites increased their bundle compliance from 71.0 to 86.7 percent (p < 0.005). This compliance increase was primarily based on increased compliance with the fluid element of the bundle that improved for non-mature locations from 76.4 to 94.0 percent (p < 0.005).

Abstract Image

Abstract Image

以败血症为原型,在整个高价值医疗保健合作组织(HVHC)中传播和实施基于证据的最佳实践--快速向他人学习。
尽管有公众压力和监管指导,但在整个医疗系统推广循证最佳实践仍是一个难以实现的目标。许多患者在同一医疗系统的不同医院接受的治疗质量并不相同。我们介绍了一个数据驱动的学习合作组织--高价值医疗保健合作组织(HVHC)--在传播最佳实践方面所发挥的作用,该合作组织坚持使用败血症护理 3 小时捆绑包。在对 20758 名患者进行改进的过程中,对脓毒症捆绑护理要素的依从性和采用情况进行了测量,并对成熟与不成熟的护理提供流程进行了比较。非成熟医疗点的捆绑护理依从性从 71.0% 提高到 86.7%(p < 0.005)。合规率的提高主要是由于非成熟医疗点对捆绑包中液体元素的合规率从 76.4% 提高到 94.0%(p < 0.005)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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