NIHR Collaboration for Leadership in Applied Health Research and Care for North West London, Chelsea and Westminster NHS Foundation Trust, London, UK.
Thorax. 2012 Jan;67(1):90-2. doi: 10.1136/thoraxjnl-2011-200233. Epub 2011 Aug 16.
National surveys have revealed significant differences in patient outcomes following admission to hospital with acute exacerbation of COPD which are likely to be due to variations in care. We developed a care bundle, comprising a short list of evidence-based practices to be implemented prior to discharge for all patients admitted with this condition, based on a review of national guidelines and other relevant literature, expert opinion and patient consultation. Implementation was then piloted using action research methodologies with patient input. Actively involving staff was vital to ensure that the changes introduced were understood and the process followed. Implementation of a care bundle has the potential to produce a dramatic improvement in compliance with optimum health care practice.
国家调查显示，慢性阻塞性肺疾病（COPD）急性加重住院患者的预后存在显著差异，这可能是由于护理方面的差异所致。我们根据对国家指南和其他相关文献、专家意见和患者咨询的审查，为所有因这种情况入院的患者制定了一个护理包，其中包含了在出院前实施的一整套基于证据的实践措施。然后，我们使用行动研究方法和患者的意见对其进行了试点。积极让员工参与对于确保引入的变革得到理解和遵循过程至关重要。实施护理包有可能显著提高最佳医疗保健实践的依从性。
