减少癫痫患儿的急诊就诊次数。
Decreasing Emergency Department Visits for Children With Epilepsy.
作者信息
Patel Anup D, Debs Andrea, Terry Debbie, Parker William, Burch Mary, Luciano Debra, Patton Lauren, Brubaker Jena, Chrisman Julie, Moellman Kathy, Herbst James, Cohen Daniel M
机构信息
Division of Neurology (ADP, AD, DT, WP, MB, LP, JB, JC, KM), Center of Clinical Excellence (ADP), Department of Pharmacy (JH), and Division of Emergency Medicine (DMC), Nationwide Children's Hospital, Columbus, OH.
出版信息
Neurol Clin Pract. 2021 Oct;11(5):413-419. doi: 10.1212/CPJ.0000000000001109.
BACKGROUND AND OBJECTIVES
Epilepsy and seizures represent a frequent cause of emergency department (ED) visits for patients. By implementing quality improvement (QI) methodology, we planned to decrease ED visits for children and adolescents with epilepsy.
METHODS
In 2016, a multidisciplinary team was created to implement QI methodology to address ED visits for patients with epilepsy. Based on previous successes, further ED visit reduction was deemed possible. Our aim statement was to decrease the number of ED visits, per 1000 established patients with epilepsy, from 13.03 to 11.6, by December 2019 and sustain for 1 year.
RESULTS
We successfully decreased ED visits for seizure-related care in patients with epilepsy from 13.03% to 10.2% per 1,000 patients, which resulted in a centerline shift.
DISCUSSION
Using QI methodology, we improved the outcome measure of decreasing ED visits for children with epilepsy. Implementations of these interventions can be considered at other institutions that may lead to similar results.
背景与目的
癫痫和癫痫发作是患者前往急诊科就诊的常见原因。通过实施质量改进（QI）方法，我们计划减少癫痫患儿和青少年的急诊就诊次数。
方法
2016年，成立了一个多学科团队，以实施QI方法来解决癫痫患者的急诊就诊问题。基于以往的成功经验，认为进一步减少急诊就诊次数是可行的。我们的目标声明是，到2019年12月，将每1000名确诊癫痫患者的急诊就诊次数从13.03次降至11.6次，并持续1年。
结果
我们成功将癫痫患者因癫痫发作相关护理的急诊就诊次数从每1000名患者的13.03%降至10.2%，这导致了中心线的偏移。
讨论
使用QI方法，我们改善了减少癫痫患儿急诊就诊次数的结果指标。其他机构可考虑实施这些干预措施，可能会产生类似的结果。
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