实施患者报告结果衡量标准:质量改进项目。

IF 0.9 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-04-30 DOI:10.1097/JHQ.0000000000000434
Shana McGrath, Mequeil Howard, Kristen Webber, Lisa Juckett
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引用次数: 0

摘要

摘要:患者报告的结果测量(PROMs)被认为对以患者为中心的临床实践越来越有益,但在临床护理中实施常规收集和使用却具有挑战性。我们的跨学科质量改进(QI)团队采用医疗保健改进研究所的改进模型方法来解决我们门诊神经康复项目中的这一问题。我们采用参与式方法确定了康复相关人员认为最适合在门诊环境中实施的 PROM;我们进行了病历审核,以确定临床医生实施 PROM 和记录 PROM 相关目标的程度。我们还收集了临床医生的反馈意见,以确定单一 PROM 的实用性和可接受性。我们为期 4 个月的举措表明,PROM、特定患者功能量表(PSFS)的收集量有所增加,并被纳入了以患者为中心的目标。在计划和实施我们的计划时,使用 QI 方法是有益的。今后的工作需要研究持续使用 PSFS、将其纳入以患者为中心的目标设定以及最大限度地提高有意义的患者疗效的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of a Patient-Reported Outcome Measure: A Quality Improvement Project.

Abstract: Patient-reported outcome measures (PROMs) are seen as increasingly beneficial to patient-centered clinical practice, but implementation of routine collection and utilization into clinical care can be challenging. Our interdisciplinary quality improvement (QI) team used the Institute for Health Care Improvement Model for Improvement methodology to address this problem in our outpatient neurorehabilitation program. We used a participatory approach to identify the PROM rehabilitation stakeholders found to be most appropriate to implement in the outpatient settings; chart audits were conducted to determine the extent to which clinicians implemented the PROM and documented a PROM-related goal. Opportunistic clinician feedback was collected to determine single PROM usefulness and acceptability. Our 4-month initiative demonstrated increased collection of a PROM, the Patient-Specific Functional Scale (PSFS), and incorporation into patient-centered goal. Use of QI methodology was beneficial when planning and executing our initiative. Future work is needed to examine factors to sustain PSFS use, incorporation into patient-centered goal setting, and maximize meaningful patient outcomes.

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来源期刊
Journal for Healthcare Quality
Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
0.00%
发文量
59
期刊介绍: The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform
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