提高败血症疗效:为期 7 年的多学科努力。

Robin Paudel, Sarah Lessard, Camilla Jaekel, Pamela Albrecht, Amir Masoud Forati, Chris Heiderscheit
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引用次数: 0

摘要

美国的监管机构已经实施了质量标准,旨在改善严重脓毒症和脓毒性休克患者的治疗效果。本研究是在一个社区学术中心开展的质量改进(QI)项目,旨在改善脓毒症质量指标的遵守情况、抗生素给药时间和患者预后。该项目利用电子健康记录系统采集脓毒症相关数据。通过定期审核和反馈会议来确定需要改进的地方,重点是抗生素的及时使用。干预措施包括改善抗生素的获取途径、从静脉回输过渡到静脉推注制剂,以及提供持续的员工教育和培训。这项多学科 QI 计划显著改善了败血症患者的死亡率指数、住院时间指数和直接成本指数。有针对性的多学科 QI 干预措施改善了质量指标和患者疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Enhancing Sepsis Outcomes: A 7-Year Multidisciplinary Endeavor.

Regulatory bodies in the United States have implemented quality metrics aimed at improving outcomes for patients with severe sepsis and septic shock. The current study was a quality improvement (QI) project in a community-based academic center aimed at improving adherence to sepsis quality metrics, time to antibiotic administration, and patient outcomes. Electronic health record systems were utilized to capture sepsis-related data. Regular audits and feedback sessions were conducted to identify areas for improvement, with a focus on the timely administration of antibiotics. Interventions included improving access to antibiotics, transitioning from intravenous piggyback to intravenous push formulations, and providing continuous staff education and training. This multidisciplinary QI initiative led to significant improvements in the mortality index, length of stay index, and direct cost index for patients with sepsis. Targeted multidisciplinary QI interventions resulted in improved quality metrics and patient outcomes.

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