The Committee for Procedural Quality and Evidence-Based Practice within the Department of Emergency Medicine
Wright, S. W., A. Trott, et al. (2007). "Creating a System to Facilitate Translation of Evidence Into Standardized Clinical Practice: A Preliminary Report." Ann Emerg Med.
The Committee for Procedural Quality and Evidence-Based Practice was formed within the Department of Emergency Medicine (University of Cinicinatti) to establish evidence-based guidelines for nursing and provider care. The committee measures the effect of such guidelines, along with other quality measures, through pre- and postguideline patient care medical record audits.
These measures are fed back to the providers in a provider-specific, peer-matched "scorecard."
The Committee for Procedural Quality and Evidence-Based Practice affects practice and performance within the department. Multiple physician and nursing guidelines have been developed and put into use. Using asthma as an example, time to first nebulizer treatment and time to disposition from the emergency department decreased.
Initial therapeutic agent changed and documentation improved.
A comprehensive, guideline-driven, evidence-based approach to clinical practice is feasible within the structure of a department of emergency medicine. High-level departmental support with dedicated personnel is necessary for the success of such a system. Internet site development (available at [Ссылки доступны только зарегистрированным пользователям ]) for product storage has proven valuable.
Patient care has been improved in several ways; however, consistent and complete change in provider behavior remains elusive.
Physician scorecards may play a role in altering these phenomena. [Ссылки доступны только зарегистрированным пользователям ]
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