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دسته بندی:
مدیریت پروژه - Project Management
سال انتشار:
2020
عنوان انگلیسی مقاله:
A Healthcare Improvement Initiative to Increase Multidisciplinary Pain Management Referrals for Youth with Sickle Cell Disease
ترجمه فارسی عنوان مقاله:
یک ابتکار بهبود بهداشتی برای افزایش مراجعه به درمان های چند رشته ای برای مدیریت درد در جوانان مبتلا به بیماری سلول داسی شکل
منبع:
Sciencedirect - Elsevier - Pain Management Nursing, Corrected proof. doi:10.1016/j.pmn.2020.03.005
نویسنده:
Rae Ann Kingsley, DNP, CPNP-AC/PC, AP-PMN
چکیده انگلیسی:
Chronic pain is a complex integration of biological, psychological, and social variables.
Multidisciplinary pain management experts design interventions that treat the multidimensional
experience. Children and adolescents with sickle cell disease (SCD) are at risk for chronic pain. Increased
risk is associated with multiple characteristics including sickle cell genotype, age, gender, frequency of
hospitalization, duration of hospitalization, and certain comorbid diagnoses. Referral to pain management
professionals for this population is often delayed.
Aims: To increase multidisciplinary pain management referrals for youth with SCD identified to be at risk
for chronic pain.
Design: Implementation research.
Setting: One pediatric, academic medical facility serving as a regional sickle cell treatment center in the
Midwest.
Participants: Children greater than 2 years of age and less than 21 years of age with laboratory confirmed
SCD.
Methods: Implementation of an evidence-based screening tool using the consolidated framework for
implementation research (CFIR) to guide project planning, design, and evaluation. The CFIR model was
paired with the Plan-Do-Study-Act (PDSA) quality improvement methodology to operationalize workflow
and sustain project aims.
Results and Conclusions: Eighty-four percent of all eligible patients were screened during their routine
sickle cell appointments resulting in a 110% increase in multidisciplinary pain management referrals.
Future interventions and PDSA cycles are targeted at improving attendance at scheduled appointments,
reducing hospitalizations, decreasing 30-day readmissions, and shortening length of stay.
© 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
قیمت: رایگان
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