Implementation of a Vital Sign Guideline for the Outpatient Therapist.
Background: Despite having training to assess vital signs (heart rate, blood pressure, and oxygen saturation), monitoring in outpatient therapy clinics is infrequent, and no guideline existed to support therapists. The goal of this project was to implement an evidence-based guideline in the outpatie...
| Publicado en: | Patient Safety (2689-0143) Vol. 5; no. 3; pp. 1 - 7 |
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| Autores principales: | , |
| Formato: | pictorial practice guidelines research tables/charts Journal Article |
| Publicado: |
Pennsylvania Patient Safety Authority
2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177505581&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177505581 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26890143 N1OO jtl: Patient Safety (2689-0143) issn: 26890143 maglogo: N pubinfo: dt: 2023 vid: 5 iid: 3 pid: 50366 pub: Pennsylvania Patient Safety Authority place: Harrisburg, Pennsylvania artinfo: ui: 177505581 177505581 177505581 10.33940/001c.88307 177505581 ppf: 1 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Implementation of a Vital Sign Guideline for the Outpatient Therapist. aug: au: Adler, Joseph Dekerlegand, Jennifer affil: Graduated in 1993 with a Master of Science in physical therapy from Arcadia University (then Beaver College) in Glenside, Pennsylvania sug: subj: Implementation Science Medical Practice, Evidence-Based Practice Guidelines Education Quality Improvement Patient Safety Hypertension Diagnosis Blood Pressure Determination Outpatient Service Occupational Therapists Education Physical Therapists Education Speech-Language Pathologists Education Human Stakeholder Participation Occupational Therapy Physical Therapy Speech Therapy Documentation Clinical Competence Evaluation Competency Assessment Guideline Adherence Evaluation Professional Knowledge Evaluation Pennsylvania Vital Signs Evaluation Monitoring, Physiologic Outcome Assessment Descriptive Statistics T-Tests ab: Background: Despite having training to assess vital signs (heart rate, blood pressure, and oxygen saturation), monitoring in outpatient therapy clinics is infrequent, and no guideline existed to support therapists. The goal of this project was to implement an evidence-based guideline in the outpatient therapy setting with the primary goal of improving patient safety by detecting asymptomatic, dangerously high blood pressure. Methods: With stakeholder involvement across the organization, an evidence-based vital sign guideline was created and implemented across the 25 Good Shepherd Penn Partners outpatient therapy clinics (occupational, physical, and speech therapy) over a three-year period. Competency completion, volume of guideline-appropriate medical event reports, and documentation of vital signs were used to measure success. Intervention: The interventions were studied in a phased approach over a three-year period and included therapist education and competency, assessment of guideline application and utilization, and knowledge translation to clinical practice. Results: All outpatient therapists (N=185) completed the guideline education and competency within the expected six-month time period. A statistically significant increase in the number of medical events was reported across outpatient clinics, from six preceding implementation to 66 after project completion (p-value=0.02). Upon project completion, therapists correctly applied the guideline 94% of the time. Conclusion: This project developed and implemented an evidence-based guideline to improve the consistency of blood pressure monitoring across our organization's entire outpatient therapy service line. By substantially increasing blood pressure monitoring, we were able to proactively identify known or unknown abnormalities to positively impact patient safety in the ambulatory setting. pubtype: Academic Journal doctype: pictorial practice guidelines research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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