• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Circulation. Cardiovascular quality and outcomes >Association of Implementation of Practice Standards for Electrocardiographic Monitoring with Nurses' Knowledge, Quality of Care, and Patient Outcomes: Findings from the Practical Use of the Latest Standards of Electrocardiography (PULSE) Trial
【24h】

Association of Implementation of Practice Standards for Electrocardiographic Monitoring with Nurses' Knowledge, Quality of Care, and Patient Outcomes: Findings from the Practical Use of the Latest Standards of Electrocardiography (PULSE) Trial

机译：智能电影监测实践标准的实施与护士知识，护理质量和患者结果的实施方式：从实际使用的心电图标准（脉搏）试验中的实际使用

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background—Although continuous electrocardiographic (ECG) monitoring is ubiquitous in hospitals, monitoring practices are inconsistent. We evaluated implementation of American Heart Association practice standards for ECG monitoring on nurses' knowledge, quality of care, and patient outcomes. Methods and Results—The PULSE Trial was a 6-year multi-site randomized clinical trial with crossover that took place in 65 cardiac units in 17 hospitals. We measured outcomes at baseline, Time 2 after Group 1 hospitals received the intervention, and Time 3 after Group 2 hospitals received the intervention. Measurement periods were 15 months apart. The 2-part intervention consisted of an online ECG monitoring education program and strategies to implement and sustain change in practice. Nurses' knowledge (N=3,013 nurses) was measured by a validated 20-item online test, quality of care related to ECG monitoring (N=4,587 patients) by on-site observation, and patient outcomes (mortality, in-hospital myocardial infarction, and not surviving a cardiac arrest) (N=95,884 hospital admissions) by review of administrative, laboratory, and medical record data. Nurses' knowledge improved significantly immediately following the intervention in both groups, but was not sustained 15 months later. For most measures of quality of care (accurate electrode placement, accurate rhythm interpretation, appropriate monitoring, and ST-segment monitoring when indicated), the intervention was associated with significant improvement, which was sustained 15 months later. Of the 3 patient outcomes, only in-hospital myocardial infarction declined significantly after the intervention, and was sustained. Conclusions—Online ECG monitoring education and strategies to change practice can lead to improved nurses' knowledge, quality of care, and patient outcomes.
机译：背景 - 虽然连续心电图（ECG）监测在医院中无处不在，但监测实践不一致。我们评估了美国心脏协会实践标准对护理知识，护理质量和患者结果的影响。方法和结果 - 脉冲试验是一个6年的多位点随机临床试验，交叉于17家医院的65名心脏单位发生。我们在基线中测量结果，第1组医院后2次收到干预后，第2次医院收到干预后的时间3。测量期限为15个月。 2部分干预包括在线ECG监测教育计划和战略，以实施和维持实践变动。护士的知识（n = 3,013名护士）是通过经过验证的20项在线测试来衡量的，与心电图监测（N = 4,587名患者）通过现场观察和患者结果（死亡率，在医院内心肌梗死的情况相关通过审查行政，实验室和医疗记录数据，而不是生存心脏骤停）（n = 95,884名医院录取）。在两组干预后，护士的知识立即改善，但在15个月后没有维持。有关大多数保健质量措施（准确的电极放置，准确的节奏解释，适当的监测和ST段监测指出时），干预与显着的改善有关，其中15个月后持续。在3例患者的结果中，在干预后，只有在医院内心肌梗死下降，并且持续下降。结论 - 在线ECG监测教育和战略改变实践可能导致护士知识，护理质量和患者结果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号