Correct patient identification and matching of adults in an ambulatory care setting: a best practice implementation project.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-10-04 DOI:10.1097/XEB.0000000000000471
Louise Dung Tran, Bronwyn Neil, Christine Taylor
{"title":"Correct patient identification and matching of adults in an ambulatory care setting: a best practice implementation project.","authors":"Louise Dung Tran, Bronwyn Neil, Christine Taylor","doi":"10.1097/XEB.0000000000000471","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Ambulatory care settings are at high risk for errors when identifying patients and matching them to their intended care.</p><p><strong>Objective: </strong>The objective of this project was to improve correct and consistent patient identification and matching to their intended care by nurses in ambulatory care settings.</p><p><strong>Methods: </strong>The seven-phase JBI Evidence Implementation Framework was used to guide this project. JBI tools were used to audit current practices and implement best practices in four ambulatory care units. The implementation plan included a baseline audit and two follow-up audits. Feedback was obtained through interviews with ambulatory care nursing staff, educational sessions were conducted for nursing staff, and unit guidelines were developed.</p><p><strong>Results: </strong>In the baseline audit, compliance with best practice criteria for patient matching and identification was below 62% for 7/13 criteria. After conducting education sessions and other strategies, 1/3 pre- and post-clinical intervention criteria improved in compliance, while 2 were unchanged. For blood product administration criteria, 2/5 improved, 1 was unchanged, and 2 were lower than baseline. Nurses' education in patient identification procedures improved (1/1) and knowing where to access relevant policies remained unchanged at 100%. Criteria for patients knowing the importance of patient identification (2/2) and the identification band following national standards (1/1) improved from baseline.</p><p><strong>Conclusions: </strong>The results support the use of education sessions and infrastructure changes to promote and sustain change in evidence-based practice in ambulatory care units. Not all criteria improved, and the audit team identified strategies to improve the implementation of evidence-based practice in ambulatory care units.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A275.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jbi Evidence Implementation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/XEB.0000000000000471","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Ambulatory care settings are at high risk for errors when identifying patients and matching them to their intended care.

Objective: The objective of this project was to improve correct and consistent patient identification and matching to their intended care by nurses in ambulatory care settings.

Methods: The seven-phase JBI Evidence Implementation Framework was used to guide this project. JBI tools were used to audit current practices and implement best practices in four ambulatory care units. The implementation plan included a baseline audit and two follow-up audits. Feedback was obtained through interviews with ambulatory care nursing staff, educational sessions were conducted for nursing staff, and unit guidelines were developed.

Results: In the baseline audit, compliance with best practice criteria for patient matching and identification was below 62% for 7/13 criteria. After conducting education sessions and other strategies, 1/3 pre- and post-clinical intervention criteria improved in compliance, while 2 were unchanged. For blood product administration criteria, 2/5 improved, 1 was unchanged, and 2 were lower than baseline. Nurses' education in patient identification procedures improved (1/1) and knowing where to access relevant policies remained unchanged at 100%. Criteria for patients knowing the importance of patient identification (2/2) and the identification band following national standards (1/1) improved from baseline.

Conclusions: The results support the use of education sessions and infrastructure changes to promote and sustain change in evidence-based practice in ambulatory care units. Not all criteria improved, and the audit team identified strategies to improve the implementation of evidence-based practice in ambulatory care units.

Spanish abstract: http://links.lww.com/IJEBH/A275.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
在门诊护理环境中正确识别和匹配成人患者:最佳实践实施项目。
导言:非住院医疗机构在识别患者和匹配预期医疗服务时存在高风险:门诊护理机构在识别患者身份并将其与预期护理相匹配时很容易出错:本项目旨在改善非住院护理环境中护士对患者进行正确、一致的识别,并将其与预期护理相匹配:方法:采用七阶段 JBI 证据实施框架来指导该项目。在四个非住院护理病房中使用 JBI 工具审核当前实践并实施最佳实践。实施计划包括一次基线审核和两次后续审核。通过访谈非住院护理护理人员获得反馈,为护理人员举办教育课程,并制定科室指南:结果:在基线审核中,有 7/13 项标准的病人匹配和识别最佳实践标准的合规率低于 62%。在实施教育课程和其他策略后,1/3 的临床干预前和干预后标准的合规性有所改善,2 个标准没有变化。在血液制品管理标准方面,2/5 的标准有所改善,1 项标准不变,2 项标准低于基线。护士在患者身份识别程序方面的教育有所改善(1/1),而知道从何处获取相关政策的比例保持不变,仍为 100%。患者了解患者身份识别重要性的标准(2/2)和按照国家标准进行身份识别的标准(1/1)均比基线有所提高:结论:结果支持利用教育课程和基础设施的改变来促进和维持非住院护理病房循证实践的改变。并非所有标准都得到了改善,审计小组确定了改善非住院医疗单位循证实践实施的策略。西班牙文摘要:http://links.lww.com/IJEBH/A275。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
3.20
自引率
13.00%
发文量
23
期刊最新文献
Nutrition as therapy - the role of dietitian counseling: a best practice implementation project. Pain assessment and management in patients with dementia in Taiwan: a best practice implementation project. Comparison of two audit and feedback approaches: descriptive analysis of personal and contextual dynamics. Collaborative implementation science: a Can-SOLVE CKD case example. Improving communication among nursing staff at a children's hospital in the southern United States: a best practice implementation project.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1