在学术医疗中心试行移动技术角色。

IF 0.9 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Journal for Healthcare Quality Pub Date : 2022-11-01 DOI:10.1097/JHQ.0000000000000345
David James, Shari Harrell, Valerie Labbe, Midge Ray
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引用次数: 1

摘要

导言:关于病人活动能力的责任,物理治疗和护理之间的沟通经常出现故障。这种沟通问题导致流动性是最常错过的临床干预措施。为了解决这一差距,在一家大型学术医疗中心实施了移动技术(MT)角色。本文的目的是描述这个角色的实现。方法:利用卫生保健改进研究所(IHI)模型进行改进,开发了迭代的小型变化测试,以整合四个急症护理单位的MT角色。使用流程流映射,该团队开发了一个MT工作流,该工作流适用于创建MT协议。结果:项目结果包括跌倒率和工作人员记录的最高活动水平。在2020年2月至2020年6月的MT试点期间,MT平均每月提供500多项干预措施。在四个试点单位中,有两个在临床和统计上都有显著的流动性增加。结论:我们已经证明MTs可以安全地纳入急症护理工作流程,工作人员和患者的评论证实了这一角色是“增值的”。
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Piloting a Mobility Tech Role at an Academic Medical Center.

Introduction: There is often a breakdown in communication between physical therapy and nursing regarding the responsibility of patient mobility. This communication problem contributes to mobility being the most frequently missed clinical intervention. To address this gap, a Mobility Tech (MT) role was implemented at a large academic medical center. The purpose of this article is to describe the implementation of this role.

Methods: Using the Institute for health care improvement (IHI) model for improvement, iterative small tests of change were developed to integrate the MT role on four acute care units. Using process flow mapping, the team developed a MT workflow that was adapted to create MT protocols.

Results: Program outcomes included fall rates and the highest level of mobility documented by staff. During the MT pilot from February 2020 through June 2020, MTs provided an average of over 500 interventions each month. There was a clinically and statistically significant increase in mobility noted in two of the four pilot units.

Conclusion: We have demonstrated that MTs can be safely incorporated into acute care nursing workflow, and comments from staff and patients validate the role is "value added."

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来源期刊
Journal for Healthcare Quality
Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
0.00%
发文量
59
期刊介绍: The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform
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