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出院时的患者体验:沙特阿拉伯一家军队医院的质量改进研究。

Patient Experience at Discharge: A Quality Improvement Study in an Armed Forces Hospital, Saudi Arabia.

作者信息

Almohaisen Noha, Woodman Alexander, Abid Muhammad Hasan, AlGhazali Ohood Saad, Alnowaiser Noura

机构信息

Medical Services Department, Ministry of Defense, Riyadh, Saudi Arabia.

King Fahad Military Medical Complex, Ministry of Defense Health Services, Dhahran, Saudi Arabia.

出版信息

J Patient Exp. 2025 Mar 17;12:23743735251325507. doi: 10.1177/23743735251325507. eCollection 2025.

Abstract

Over the past decade, the health sector of Saudi Arabia has been undergoing a major transformation. This pilot research aimed to improve the patient experience (PX) at discharge by at least 2 scores within 2 years at a King Abdul Aziz Armed Forces Hospital (KAAB-AFH), Dhahran, in Saudi Arabia. The project was planned, executed, monitored, and closed through five Plan-Do-Study-Act cycles from Q2 2019 to Q2 2023. Discharge planning Include, Discuss, Educate, Assess, and Listen model, Teach Back technique, and Re-Engineered Discharge model, and Patient Education Materials Assessment Tool were used. The mean PX score at discharge improved from 86.80 (SD ±1.89) to 89.72 (SD ±1.77) ( = 0.02), the discharge speed PX score by 4.36 points ( = 0.05), and the PX score for the clearness of instructions at discharge increased by 2.75 points ( = 0.01). This PX quality improvement research project resulted in a significant improvement in patients' understanding of their health status, increased adherence to discharge procedures, and a sustained improvement in the quality of care.

摘要

在过去十年中,沙特阿拉伯的卫生部门一直在经历重大变革。这项试点研究旨在使沙特阿拉伯达兰的阿卜杜勒·阿齐兹国王武装部队医院(KAAB - AFH)在两年内将出院时的患者体验(PX)评分至少提高2分。该项目从2019年第二季度到2023年第二季度通过五个计划 - 执行 - 研究 - 行动循环进行规划、执行、监测和收尾。采用了出院计划的“包括、讨论、教育、评估和倾听”模式、反馈教学法、重新设计的出院模式以及患者教育材料评估工具。出院时的平均PX评分从86.80(标准差±1.89)提高到89.72(标准差±1.77)(P = 0.02),出院速度的PX评分提高了4.36分(P = 0.05),出院时医嘱清晰度的PX评分提高了2.75分(P = 0.01)。这项PX质量改进研究项目使患者对自身健康状况的理解有了显著改善,对出院程序的依从性增加,护理质量持续提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a7/11915308/82e54ea03a97/10.1177_23743735251325507-fig1.jpg

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