Arredondo-Provecho A B, Martínez-Piédrola M, Guadarrama-Ortega D, Morales-Guijarro A M, Ruiz-Luján V, Acevedo-García M
Unidad de Calidad, Formación, Investigación e Innovación, Complejo Asistencial Universitario de León, Castilla y León, España.
Unidad de Calidad, Hospital Universitario Fundación Alcorcón, Madrid, España.
J Healthc Qual Res. 2024 Sep-Oct;39(5):306-314. doi: 10.1016/j.jhqr.2024.06.006. Epub 2024 Jul 30.
To analyze the impact on patient health outcomes after implementing 4 Good Practice Guidelines (GPG) in a level II public university hospital.
A quasi-experimental pre-post study was carried out at the Hospital Universitario Fundación Alcorcón, belonging to the Servicio Madrileño de Salud (SERMAS) of the Community of Madrid. Anonymized patient health indicator data from February 2018 to December 2022 from a total of 4853 patient records were analyzed. Inclusion criteria all patients defined in the scope of each GBP. The sample analyzed was patients discharged in the last 5 working days of the month for all GBPs, except in Ostomy and Stroke, for which 100% of patients discharged during the month were included.
The main results were: incidence of pressure injury from 2.70% (2017) to 1.03% (2022); stoma marking from 66.67% (2017) to 75% (2022); exclusive breastfeeding from 50% (2017) to 61.54% (2022); neurological assessment on admission from 75.56% (2017) to 85.60% (2022).
The implementation of the GBPs led to an improvement in the health indicators of patients admitted to the target units. Improvements were observed in both process and outcome indicators.
分析在一所二级公立大学医院实施4项良好实践指南（GPG）后对患者健康结局的影响。
在隶属于马德里自治区马德里卫生服务局（SERMAS）的阿尔科孔基金会大学医院开展了一项准实验性前后对照研究。分析了2018年2月至2022年12月共4853份患者记录中的匿名患者健康指标数据。纳入标准为各GPG范围内定义的所有患者。除造口术和中风外，分析的样本为每月最后5个工作日出院的患者，造口术和中风纳入当月出院的所有患者。
主要结果如下：压疮发生率从2017年的2.70%降至2022年的1.03%；造口标记从2017年的66.67%升至2022年的75%；纯母乳喂养从2017年的50%升至2022年的61.54%；入院时神经学评估从2017年的75.56%升至2022年的85.60%。
实施GPGs使目标科室入院患者的健康指标得到改善。在过程指标和结局指标方面均观察到改善。
