Gleeson Margaret, Kellett John, Cowan Mairead, Casey Marie
Mid-Western Regional Hospital, Nenagh, County Tipperary, Ireland.
Br J Nurs. 2009;18(9):546-50. doi: 10.12968/bjon.2009.18.9.42257.
This article reports the implementation and impact of a standardized systematic evidence-based predictive score for the initial assessment of acutely ill medical patients. The Simple Clinical Score (SCS) was introduced in the A&E department and the medical floor of the authors' hospital between June 2007 and July 2008. The SCS was well received by the staff - 67% felt it greatly improved patient assessment and was very valuable for ensuring appropriate placement of the patient after admission and improved the quality of care. This article describes the change process, the pilot evaluation and the training programme undertaken during the implementation of the SCS. It is hoped that this experience will be of value to other project teams who are undertaking similar initiatives.
本文报告了一种标准化的基于证据的系统预测评分在急性病内科患者初始评估中的实施情况及影响。2007年6月至2008年7月期间，作者所在医院的急诊科和内科病房引入了简易临床评分（SCS）。该评分受到了工作人员的广泛欢迎——67%的人认为它极大地改善了患者评估，对于确保患者入院后得到适当安置非常有价值，并提高了护理质量。本文描述了SCS实施过程中的变革过程、试点评估和培训计划。希望这一经验对其他正在开展类似举措的项目团队有所帮助。
