■没有正式的评估来确定每年出现在急诊科的数百万酒精引起的损害患者的残疾程度。哈克的减值指数(HII)是一个标准化的指数,可序列化的临床工具,旨在量化能力。该中心的护理人员执行HII并使用纸张提示确定分数。
■我们开发了HII电子应用程序,并调查了移动设备上的电子版本是否会影响护理表现。
■一个基于图表审查的质量改进项目的数量比较,重复,以及护士在6.5个月内完成的HII评分文档的完整性。第1组:干预前90天的纸质HII评分;第2组:干预后90天的基于iPad的HII评分。两组之间有2周的员工培训和电子版反馈。非正式,在调查终止时对护士进行了特别访谈.
■第1组:476例急诊科酒精所致损伤患者有HII评分;339例(71.2%;95%CI,67.1,75.3%)有HII评估,记录了总共539个HII评分。每位患者平均(SD)1.60(0.01)次系列评估,5分(1.1%;95%CI,(0,2.2%)不完整。第2组:569例酒精引起的急诊科患者被发现并进行了HII评分;420(73.8%;95%CI(70.2,77.4%)进行了HII评估,记录了总共639个HII评分。每位患者进行了平均(SD)1.52(0.03)系列评估,4(0.9%;95%CI,(0.81,0.99%)的HII评分不完整。
■虽然我们的研究是在一个中心进行的,是一个图表审查,而不是直接观察,我们发现,基于移动设备的用于确定评分的HII应用程序不会干扰护理表现.具体来说,将纸质图表文档与电子格式文档进行比较时,对因饮酒所致的急诊科患者的护理评估的重复性和完整性没有改变.(CurrTherResClinExp.2021年;82:XXX-XXX)。
UNASSIGNED: There is no formal assessment to determine level of disability in the millions of patients with alcohol-induced impairment who present to emergency departments annually. Hack\'s Impairment Index (HII) is a standardized, serializable clinical tool designed to quantify ability. Nursing staff members at this center perform the HII and determine a score using paper prompts.
UNASSIGNED: We developed an HII electronic application and investigated whether or not an electronic version on a mobile device would affect nursing performance.
UNASSIGNED: A chart review-based quality improvement project compared the number, repetitions, and completeness of HII score documentation performed by nurses over 6.5 months. Group 1: paper-based HII scores for the 90-day period before intervention; group 2: iPad-based HII scores for the 90 days after intervention. There was a 2-week period for staff training and electronic version feedback between groups. Informal, ad hoc interviews were performed with nurses at investigation termination.
UNASSIGNED: Group 1: 476 emergency department patients with alcohol-induced impairment had HII scores ordered; 339 (71.2%; 95% CI, 67.1, 75.3%) had HII assessments with a total of 539 HII scores documented. An average (SD) 1.60 (0.01) serial assessments occurred per patient, 5 (1.1%; 95% CI, (0, 2.2%) scores were incomplete. Group 2: 569 alcohol-induced impairment emergency department patients were seen and had HII scores ordered; 420 (73.8%; 95% CI, (70.2, 77.4%) had HII assessments with a total of 639 HII scores documented. An average (SD) 1.52 (0.03) serial assessments occurred per patient, 4 (0.9%; 95% CI, (0.81, 0.99%) had incomplete HII scores.
UNASSIGNED: Although our study took place at 1 center, was a chart review, and not directly observed, we found that the mobile device-based HII application to determine a score did not interfere with nursing performance. Specifically, the repetition and completeness of nursing assessments of emergency department patients with impairment from alcohol use was not altered when comparing paper chart documentation with electronic format documentation. (Curr Ther Res Clin Exp. 2021; 82:XXX-XXX).