Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Pop-up Chart for Managing CRRT Improves the Quality of CRRT Care

전자의무기록 팝업차트를 활용한 CRRT 관리의 질향상 활동

  • Go, Su-Ryeong (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Lee, An-Na (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Kim, Ki-Pyo (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Chin, Ho-Jun (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Na, Ki-Young (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Chae, Dong-Wan (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Kim, Se-Joong (Department of Internal Medicine, Seoul National University Bundang Hospital)
  • 고수령 (분당서울대학교병원 신장내과) ;
  • 이안나 (분당서울대학교병원 신장내과) ;
  • 김기표 (분당서울대학교병원 신장내과) ;
  • 진호준 (분당서울대학교병원 신장내과) ;
  • 나기영 (분당서울대학교병원 신장내과) ;
  • 채동완 (분당서울대학교병원 신장내과) ;
  • 김세중 (분당서울대학교병원 신장내과)
  • Received : 2019.04.30
  • Accepted : 2019.05.20
  • Published : 2019.06.30
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Abstract

Purpose: The time lag between the decision to initiate continuous renal replacement therapy (CRRT) and its actual initiation remains a major barrier in our intensive care units. We developed a CRRT pop-up chart on EMR for managing CRRT machines. Methods: This study measured time interval between the decision to prepare the CRRT machine and the actual use of the machine before and after using a CRRT pop-up chart. This study conducted a questionnaire of the medical staff to assess the changes in the quality of CRRT preparation. Results: A total of 95 patients on CRRT is analyzed. The time to find an available CRRT machine is decreased by 24.6%. The time to move a CRRT machine to the patient's bedside is decreased by 55.8%. Medical surveys of 44 nurses gave the following results. 1) The time to apprehend machines for 1 to 3 minutes is improved from 29.5% to 81.8%, and the time to apprehend machines over 3 minutes is decreased from 70.5% to 18.2%. 2) The number (6-all) of known machine locations is improved from 22.7% to 63.4%. 3) Interruption of a nurse's work due to telephone calls asking for the possession of movable CRRT equipment also is improved. Scores of 1-4 are improved from 15.9% to 41%. Scores of 5-7 are reduced from 52% to 15.9%. Conclusions: CRRT pop-up chart is shortened the time lag of CRRT machine preparation, reduced the nurse's phone workload and helped to improve the quality of CRRT care.

Keywords

References

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