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
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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.

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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。
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CiteScore
3.20
自引率
13.00%
发文量
23
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