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首页> 外文期刊>Western journal of nursing research >Implementing and sustaining evidence-based nursing practice to reduce pediatric cardiopulmonary arrest.
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Implementing and sustaining evidence-based nursing practice to reduce pediatric cardiopulmonary arrest.

机译：实施和维持循证护理实践以减少小儿心肺骤停。

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Rapid response teams (RRTs) improve outcomes for patients through early escalation of care. However, subtle signs of clinical deterioration in children may not be consistently recognized by the bedside acute care nurse and therefore the RRT may not be activated. The Pediatric Early Warning Score (PEWS), an evidence-based tool, provides nurses with a mechanism for early detection using quantitative data. We describe our process and outcomes of implementing and sustaining the use of PEWS at the unit and organizational level using the Plan-Do-Check-Act methodology for performance improvement. Our outcome data indicate that cardiopulmonary arrests were reduced by 31% at the pilot unit level and subsequently 23.4% at the organizational level. Data also suggest that bedside nurses effectively escalated patient care needs without activating RRTs (19.4% reduction in RRT activations after PEWS implementation). Strategies to sustain the positive outcomes of PEWS at the unit and organizational levels are also described.
机译：快速响应团队（RRT）通过早期升级护理改善患者的治疗效果。但是，床旁急救护士可能无法始终如一地识别出儿童临床恶化的细微迹象，因此可能无法激活RRT。儿科预警分数（PEWS）是一种基于证据的工具，为护士提供了使用定量数据进行早期检测的机制。我们使用Plan-Do-Check-Act方法来改善绩效，描述了在单位和组织级别实施和维持PEWS使用的过程和结果。我们的结果数据表明，在飞行员部门，心肺骤停的发生率降低了31％，在组织层面，此后降低了23.4％。数据还表明，床边护士无需激活RRT即可有效提高患者的护理需求（实施PEWS后RRT激活减少19.4％）。还描述了在部门和组织层面维持PEWS积极成果的策略。

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