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دسته بندی:
مدیریت پروژه - Project Management
سال انتشار:
2020
عنوان انگلیسی مقاله:
IMPROVING PAIN REASSESSMENT AND DOCUMENTATION RATES: A QUALITY IMPROVEMENT PROJECT IN A TEACHING HOSPITAL’S EMERGENCY DEPARTMENT
ترجمه فارسی عنوان مقاله:
بهبود نرخ مستند سازی و ارزیابی مجدد : یک طرح ارتقاء کیفی در بخش آمادگی دانشگاه علوم پزشکی
منبع:
Sciencedirect - Elsevier - Journal of Emergency Nursing, Corrected proof. doi:10.1016/j.jen.2019.12.008
نویسنده:
Kevin M. Wissman, PharmD, Elizabeth Cassidy, PharmD, BCPS, Frank D’Amico, PhD, Carole Hoy, PA-C, Thomas Vissari, RN, and Megan Baumgartner, PharmD, BCPS, Pittsburgh, PA
چکیده انگلیسی:
ED pain score reassessment and documentation
rates were drastically low according to sampled
data from the St. Margaret Hospital Emergency Department leading to difficult pain management encounters for clinicians.
The purpose of this project was to improve pain
score reassessment rates in ED patients who were
discharged with extremity pain.
Methods: This project was an 8-month, prepostinterventional
(preintervention: September-November
2018, intervention: December 2018-January 2019, and postintervention:
February-April 2019) quality improvement project
that took place in a community hospital emergency
department. Emergency nurses participated in 6 focus
groups, allowing for the creation of focus group-themed interventions
at the request of the nursing staff. Daily audits
of pain reassessment and documentation rates for individual
nurses took place during the month of January 2019. In
addition, a weekly newsletter was created and reported the
ED pain reassessment and documentation rates.
Results: All patient encounters (581) were reviewed over
the 8-month period. Baseline pain score reassessment and
documentation rates were 36.2% (confidence interval,
30.3%-42.3%) in the emergency department. Pain
reassessment and documentation rates increased to 62.3%
(confidence interval, 56.8%-67.6%) during the 3-month postintervention
period.
Discussion: Implementing daily audits and weekly newsletters
that created transparency of individual and group performances increased pain score reassessment and documentation
rates.
Key words: Pain reassessment | Pain documentation | Practice improvement | Quality improvement | Pain management
قیمت: رایگان
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