Lauren Kearney, DNP, APRN, FNP-C, RNFA, DNP Graduate, School of Nursing, Duke University, Durham, NC; Orlando Health Jewett Orthopaedic Institute, Orlando, FL.
Julie Thompson, PhD , Research Scientist and Consulting Associate, School of Nursing, Duke University, Durham, NC.
Orthop Nurs. 2022;41(5):318-323. doi: 10.1097/NOR.0000000000000878.
Cast immobilization remains the standard of care in managing pediatric fractures. Cast complications often result in emergency department visits, office calls and visits, or lasting patient morbidities that burden the healthcare institution from a time and economic standpoint. The purpose of this quality improvement project was to create a multimodal cast care education protocol with an aim of decreasing cast complications over a 6-week period. Qualified patients (0-18) placed in cast immobilization received a quick response (QR) code sticker on their casts linked to a custom cast care website with text, pictures, and video instructions. Incidence of cast complications, complication type, effect(s) on workflow, and patient demographics were recorded. The complication rate declined 7.6%, but it was not statistically significant. Continuous access to clinic-specific cast instructions demonstrates decreased cast complications in pediatric populations, and this approach to patient education can be easily utilized across all medical specialties.
石膏固定仍然是治疗儿童骨折的标准方法。石膏并发症常常导致急诊就诊、医生办公室就诊或随访，或导致持续的患者病态，从时间和经济角度给医疗机构带来负担。本质量改进项目的目的是创建一种多模式的石膏护理教育方案，旨在在 6 周内减少石膏并发症。接受石膏固定的合格患者（0-18 岁）在其石膏上贴上快速响应（QR）码贴纸，该贴纸链接到一个带有文本、图片和视频说明的定制石膏护理网站。记录了石膏并发症的发生率、并发症类型、对工作流程的影响以及患者人口统计学特征。并发症发生率下降了 7.6%，但无统计学意义。持续获得针对特定诊所的石膏说明可减少儿科人群中的石膏并发症，这种患者教育方法可以很容易地应用于所有医学专业。
