降低手术后患者的尿路感染率:质量改进干预。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
L. Wang , R. Hummel , P. Singh
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引用次数: 0

摘要

简介和目标:斯卡伯勒健康网络于 2017-2018 财年加入了美国外科学院国家外科质量改进计划(ACS NSQIP),希望跟踪普外科和血管外科患者的手术效果。ACS NSQIP 计划的结果显示,该人群组的 30 天尿路感染(UTI)率结果不佳。与同行医院相比,其结果处于最低四分之一。为了改善患者护理,SHN 启动了一项多管齐下的质量改进计划(QIP):方法:质量改进计划侧重于以下几个方面的改进:(方法:质量改进计划的重点是几项改进措施:(1)澄清现状并进行根本原因分析;(2)确定一项鼓励手术后患者尽早拔除导管的计划;(3)加强团队在术前、术中和术后护理环境中的沟通;以及(4)加强有关 UTI 预防和治疗的教育:这项研究表明,旨在改善手术患者围手术期并发症的质量改进计划取得了成功。到 2019 年,SHN 的尿毒症发生率显著下降,并成为 ACS NSQIP 中表现最好的十分之一:本研究证明了实施质量改进项目的可行性和成功性,其方法可用于其他医院,以改善患者护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reducing urinary tract infection rates in post-operative surgical patients: A quality improvement intervention

Introduction and objectives

The Scarborough Health Network joined the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) in fiscal year 2017–2018 with interest in tracking surgical outcomes in General and Vascular Surgery patients. Results of the ACS NSQIP program revealed poor outcomes in 30-day urinary tract infection (UTI) rates in this population group. Results were in the lowest quartile compared to peer hospitals. To improve patient care, SHN initiated a multi-pronged quality improvement plan (QIP).

Methods

The QIP focused on several improvements: (1) clarify the current state and conduct a root cause analysis, (2) determine a plan to encourage early removal of catheters in post-surgical patients, (3) enhance team communication in the pre-operative, operative and post-operative care environments, and (4) improve education around UTI prevention and treatment.

Results

This study demonstrates the success of the quality improvement plan to improve a peri-operative complication in surgical patients. By 2019, SHN saw a significant decrease in UTI rates, and became a top decile performer in ACS NSQIP.

Conclusions

This study demonstrates the feasibility and success of implementing a quality improvement project, and its methods can be adapted at other hospital sites to improve patient care.

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来源期刊
CiteScore
1.70
自引率
8.30%
发文量
83
审稿时长
57 days
期刊介绍: Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)
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