快速改进项目：提高护理人员对神经外科设备安全建议的理解
Rapid Improvement Project: Improving Caregivers' Understanding of Safety Recommendations for Neurosurgical Devices.
作者信息
Anokwute Miracle C, Seibold Dianne, Jea Andrew, Ackerman Laurie L, Raskin Jeffrey S
机构信息
theSection of Pediatric Neurosurgery, Riley Hospital for Children, Indiana University School of Medicine, Department of Neurological Surgery, Indianapolis, Ind.
Clinical Service Coordinator for Neurosurgery, Riley Hospital for Children, Indiana University Health, Indianapolis, Ind.
出版信息
Pediatr Qual Saf. 2020 Dec 28;6(1):e376. doi: 10.1097/pq9.0000000000000376. eCollection 2021 Jan-Feb.
UNLABELLED
There has been a proliferation in the development of indwelling neuromodulatory devices with varied safety recommendations, making it difficult for providers to remain up-to-date. This deficit presents an opportunity for significant improvement in patient safety.
METHODS
We performed a search for monopolar electrocautery and magnetic resonance imaging safety recommendations for several indwelling neuromodulatory devices. We developed a questionnaire followed by an educational compendium and a posttest for 50 care providers.
RESULTS
Overall, there was a poor performance on the pretest (mean 39%, SD 19%) but significant improvement on the posttest (mean 71%, SD 16%), < 0.0001. We placed the educational compendium that included all manufacturer recommendations in the operating room for easy reference. A 2.4 times decrease in the case start times of vagus nerve stimulator cases is evidence of its effectiveness.
CONCLUSIONS
The authors highlight the lack of knowledge about manufacturer safety recommendations for indwelling neurosurgical devices, which led to the creation of operating room supplements and educational devices.
未标注
具有各种安全建议的植入式神经调节设备不断涌现，这使得医疗服务提供者难以跟上最新情况。这种不足为显著提高患者安全提供了契机。
方法
我们搜索了几种植入式神经调节设备的单极电灼和磁共振成像安全建议。我们编制了一份问卷，随后是一份教育手册和针对50名医疗服务提供者的后测。
结果
总体而言，前测成绩较差（平均39%，标准差19%），但后测有显著提高（平均71%，标准差16%），P<0.0001。我们将包含所有制造商建议的教育手册放置在手术室以便随时参考。迷走神经刺激器病例的手术开始时间减少了2.4倍，证明了其有效性。
结论
作者强调了对植入式神经外科设备制造商安全建议缺乏了解，这促使创建了手术室补充资料和教育工具。
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