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借助创新型智能泵技术实现成果:合作、规划与质量改进。

Achieving Outcomes With Innovative Smart Pump Technology: Partnership, Planning, and Quality Improvement.

作者信息

Lehr Jennifer, Vitoux Rachel R, Evanovich Zavotsky Kathleen, Pontieri-Lewis Vicky, Colineri Lori

机构信息

B. Braun Medical, Inc, Bethlehem, Pennsylvania (Mss Lehr and Vitoux); The Center for Professional Development, Innovation and Research, Robert Wood Johnson University Hospital Health System, New Brunswick, New Jersey (Dr Zavotsky); Wound Ostomy and Continence (Ms Pontieri-Lewis); and Robert Wood Johnson Barnabas Health, New Brunswick, New Jersey (Drs Zavotsky and Colineri and Ms Pontieri-Lewis).

出版信息

J Nurs Care Qual. 2019 Jan/Mar;34(1):9-15. doi: 10.1097/NCQ.0000000000000326.

Abstract

BACKGROUND

A 5-time designated Magnet academic medical center partnered with its infusion systems supplier to successfully integrate 1327 smart pumps across 45 departments with an aggressive 3-month timeline. The team also achieved quality improvement (QI) outcomes through increased drug library compliance and decreased alerts with their new technology.

PROBLEM

This large academic medical center needed to implement innovative wireless infusion pump technology in a short time frame.

APPROACH

The approach involved a strong partnership from the medical center and the supplier, with extensive planning and collaboration among the clinical nurse specialists and consultants from both organizations to accomplish QI goals. Lean principles were also followed to enhance efficiency and accountability.

OUTCOMES

Quality improvement outcomes included 100% drug library compliance across all 6 intensive care units, a decrease in pump alert rates from 4.18% to 0.79%, and a decrease in pump programming correction rate from 0.36% to 0.06%.

CONCLUSIONS

A partnership led to a large implementation being completed efficiently across an academic medical center. Through these joint efforts, quality of care was improved within a short period of time.

摘要

背景

一家五次被指定为磁石医院的学术医疗中心与其输液系统供应商合作,在短短3个月的时间内成功地将1327台智能泵整合到45个科室。该团队还通过提高药品库合规性和减少新技术带来的警报,实现了质量改进(QI)成果。

问题

这家大型学术医疗中心需要在短时间内实施创新的无线输液泵技术。

方法

该方法包括医疗中心与供应商建立强有力的合作伙伴关系,两个组织的临床护士专家和顾问之间进行广泛的规划和协作,以实现质量改进目标。同时遵循精益原则,提高效率和问责制。

结果

质量改进成果包括所有6个重症监护病房的药品库合规率达到100%,泵警报率从4.18%降至0.79%,泵编程校正率从0.36%降至0.06%。

结论

通过合作,一个大型学术医疗中心的大规模实施得以高效完成。通过这些共同努力,在短时间内提高了护理质量。

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