Hewson K M, Burrell A R
NSW Intensive Care Coordination and Monitoring Unit, Penrith, New South Wales, Australia.
Anaesth Intensive Care. 2006 Jun;34(3):322-8. doi: 10.1177/0310057X0603400222.
This pilot study aimed to test the use of a checklist as a method of ensuring that certain processes of care are performed routinely and systematically in a tertiary intensive care unit. The pilot involved the development of a process indicator checklist, its implementation and review. The checklist contained 16 items sourced from the literature or deemed important by local clinicians. Checklists were completed on the morning round for all adult patients admitted to the unit for approximately one month. Baseline and evaluation surveys were conducted with medical staff to assess both the benefits and shortcomings of using the checklist. Results demonstrated good compliance in completing the checklist (81%) and that when checked, certain aspects of care were not always delivered when appropriate. At the conclusion of the study the majority of medical staff believed that care in the intensive care unit actually improved with the use of the checklist, and all thought that it assisted in ensuring that good quality care was delivered. The checklist is a useful tool that can be readily applied to facilitate best practice and quality in everyday clinical care, ultimately leading to better health outcomes for patients.
这项试点研究旨在测试使用检查表作为一种确保在三级重症监护病房中常规且系统地执行某些护理流程的方法。该试点涉及制定一份流程指标检查表、实施该检查表并进行审查。检查表包含16项内容，这些内容源自文献或被当地临床医生认为很重要。在大约一个月的时间里，每天早晨查房时，对入住该病房的所有成年患者填写检查表。对医务人员进行了基线调查和评估调查，以评估使用检查表的益处和缺点。结果表明，检查表的完成情况良好（81%），并且在检查时发现，某些护理方面并非总是在适当的时候提供。在研究结束时，大多数医务人员认为，使用检查表后重症监护病房的护理实际上得到了改善，并且所有人都认为它有助于确保提供高质量的护理。检查表是一种有用的工具，可以很容易地应用于促进日常临床护理中的最佳实践和质量，最终为患者带来更好的健康结果。
