Abstract：
OBJECTIVE: To analyze the impact on patient health outcomes after implementing 4 Good Practice Guidelines (GPG) in a level II public university hospital.
METHODS: 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.
RESULTS: 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).
CONCLUSIONS: 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.
METHODS: 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.
RESULTS: 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).
CONCLUSIONS: 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.
摘要：
目的：分析在二级公立大学医院实施4个良好实践指南（GPG）后对患者健康结果的影响。
方法：在Alcorcón大学进行了一项准实验的pre-post研究，属于马德里社区ServicioMadrileñodeSalud（SERMAS）。分析了2018年2月至2022年12月总共4853份患者记录的匿名患者健康指标数据。纳入标准将所有患者定义在每个GBP的范围内。分析的样本是所有GBPs在该月最后5个工作日出院的患者，除了造口术和中风,其中包括该月出院的100％患者。
结果：主要结果是：压力损伤的发生率从2.70％（2017年）到1.03％（2022年）；造口标记从66.67％（2017年）到75％（2022年）；纯母乳喂养从50％（2017年）到61.54％（2022年）；入院时的神经系统评估从75.56％（2017年）到85.60％（2022）。
结论：GBP的实施导致目标单位患者健康指标的改善。过程和结果指标均有所改善。
方法：在Alcorcón大学进行了一项准实验的pre-post研究，属于马德里社区ServicioMadrileñodeSalud（SERMAS）。分析了2018年2月至2022年12月总共4853份患者记录的匿名患者健康指标数据。纳入标准将所有患者定义在每个GBP的范围内。分析的样本是所有GBPs在该月最后5个工作日出院的患者，除了造口术和中风,其中包括该月出院的100％患者。
结果：主要结果是：压力损伤的发生率从2.70％（2017年）到1.03％（2022年）；造口标记从66.67％（2017年）到75％（2022年）；纯母乳喂养从50％（2017年）到61.54％（2022年）；入院时的神经系统评估从75.56％（2017年）到85.60％（2022）。
结论：GBP的实施导致目标单位患者健康指标的改善。过程和结果指标均有所改善。
