Application and evaluation of standardized management in video-electro-encephalogram monitoring_West China Medical Journal

Authors：

 FENG Ling , LU Jianying , WANG Yunhui , CHEN Jing , YANG Rong , ZHOU Dong

Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

FENG Ling, Email: fengling216@163.com

Keywords：

Standardization management; Video-electroencephalogram monitoring; Multidisciplinary team; Quality control

DOI：

10.7507/1002-0179.201903018

Video：

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Objective To explore the application effect of standardized management on video-electroencephalogram (VEEG) monitoring.Methods In January 2018, a multidisciplinary standardized management team composed with doctors, technicians, and nurses was established. The standardized management plan for VEEG monitoring from outpatient, pre-hospital appointment, hospitalization and post-discharge follow-up was developed; the special quilt for epilepsy patients was designed and customized, braided for the patient instead of shaving head, standardized the work flow of the staff, standardized the health education of the patients and their families, and standardized the quality control of the implementation process. The standardized managemen effect carried out from January to December 2018 (after standardized managemen) was compared with the management effect from January to December 2017 (before standardized managemen).Results After standardized management, the average waiting time of patients decreased from (2.08±1.13) hours to (0.53±0.21) hours, and the average hospitalization days decreased from (6.63±2.54) days to (6.14±2.17) days. The pass rate of patient preparation increased from 63.14% to 90.09%. The capture rate of seizure onset increased from 73.37% to 97.08%. The accuracy of the record increased from 33.12% to 94.10%, the doctor’s satisfaction increased from 76.34±29.53 to 97.99±9.27, and the patient’s satisfaction increased from 90.04±18.97 to 99.03±6.51. The difference was statistically significant (P<0.05).Conclusion Standardization management is conducive to ensuring the homogeneity of clinical medical care, reducing the average waiting time and the average hospitalization days, improving the capture rate and accuracy of seizures, ensuring the quality of medical care and improving patient’s satisfaction.

Citation： FENG Ling, LU Jianying, WANG Yunhui, CHEN Jing, YANG Rong, ZHOU Dong. Application and evaluation of standardized management in video-electro-encephalogram monitoring. West China Medical Journal, 2019, 34(6): 653-658. doi: 10.7507/1002-0179.201903018 Copy

1.	姜雪, 郎红娟, 李娟, 等. 基于标准化管理的手术运行管理策略对手术室工作效率的影响. 护理研究, 2017, 31(18): 2297-2299.
2.	朱琴, 颜巧元. 患者参与患者安全标准化管理方案的研究现状及启示. 中华护理杂志, 2018, 53(7): 893-896.
3.	马学先, 修燕, 李勇, 等. 标准化管理推进研究型医院建设与发展. 中国研究型医院, 2016, 3(4): 3-6.
4.	张珊珊, 常红, 张彩英. 难治性癫癎患者视频脑电监测管理的效果研究. 护理管理杂志, 2017, 17(1): 70-71.
5.	吴金凤, 张亚, 王海艳, 等. 集束化护理在降低儿童视频脑电图伪差发生的效果评价. 中国实用神经疾病杂志, 2018, 21(1): 103-105.
6.	陈洁, 邓淑红, 徐芳. 医护一体标准化管理模式在电子医嘱流程中的应用. 中国当代医药, 2017, 24(5): 166-168.
7.	张爱琴, 臧季贤, 孙琳, 等. 标准化管理在护理质量建设中的应用及效果. 护理管理杂志, 2016, 16(9): 638-640.
8.	冯丹, 朱玉, 张黎明, 等. 门急诊标准与标准化管理. 中国卫生质量管理, 2016, 23(1): 12-14.
9.	DeVries-Rizzo M, Canadian Epilepsy Nursing Group. A description of Canadian epilepsy monitoring units: an initial step toward developing nursing practice consensus guidelines. Epilepsy Behav, 2016, 57(Pt A): 145-150.
10.	Spritzer SD, Riordan KC, Berry J, et al. Fall prevention and bathroom safety in the epilepsy monitoring unit. Epilepsy Behav, 2015, 48: 75-78.
11.	刘学英, 陈冰, 阮小玲, 等. 伤口造口门诊的标准化管理. 护理学杂志, 2017, 32(22): 41-43.
12.	胡佩佩, 景婧. 肿瘤科护士参与多学科团队的获益、挑战及应对策略. 中国护理管理, 2018, 18(4): 538-542.
13.	冯丹, 沈迪, 高博, 等. 大型综合性医院疑难危重病例标准化管理实践. 中国医院, 2016, 20(11): 10-15.
14.	中国抗癫痫协会常务理事. 癫痫中心分级标准(试行)2016年10月修改. 癫痫杂志, 2017, 3(3): 243-247.
15.	中国抗癫痫协会常务理事及顾问. 加强癫痫中心的分级管理. 癫痫杂志, 2017, 3(4): 338-339.
16.	Holland C, Edward KL, Giandinoto JA. Nursing and focal dyscognitive seizures: a clinical update when managing risk using advanced nursing skills. J Neurosci Nurs, 2017, 49(3): 164-168.
17.	Hill CE, Thomas B, Sansalone K, et al. Improved availability and quality of care with epilepsy nurse practitioners. Neurol Clin Pract, 2017, 7(2): 109-117.
18.	刘芬. 视频脑电图检测对脑性瘫痪合并癫痫患儿预后的评估价值. 中国实用神经疾病杂志, 2018, 21(3): 270-272.
19.	张洋, 樊庆雷, 茹珊, 等. 视频脑电图鉴别诊断癫痫患者睡眠障碍、认知障碍的临床价值研究. 现代生物医学进展, 2018, 18(5): 894-897.
20.	宋战义, 李沁晏, 廉荣镇, 等. 视频脑电图与全身运动质量评估在新生儿缺血缺氧性脑病神经发育结局中的预测价值. 湘南学院学报(医学版), 2017, 19(1): 1-5.
21.	景玮, 张宁, 陈浩, 等. 神经内科重症监护病房中持续脑电监测对癫痫持续状态的诊治价值. 实用医技杂志, 2017, 24(12): 1362-1363.
22.	Ahlin K, Jacobsson B, Nilsson S, et al. Antecedents and neuroimaging patterns in cerebral palsy with epilepsy and cognitive impairment: a population-based study in children born at term. Acta Obstet Gynecol Scand, 2017, 96(7): 828-836.
23.	徐丙超, 周芯羽, 籍牛, 等. 视频脑电图和磁共振成像对继发性癫痫的诊断价值. 广东医学, 2016, 37(4): 551-554.
24.	Watson F, Rusbridge C, Packer RMA, et al. A review of treatment options for behavioural manifestations of clinical anxiety as a comorbidity in dogs with idiopathic epilepsy. Vet J, 2018, 238: 1-9.
25.	Liu G, Slater N, Perkins A. Epilepsy: treatment options. Am Fam Physician, 2017, 96(2): 87-96.
26.	刘月辉, 朱培渊, 李顺飞, 等. 手术服务标准化管理成效. 中国医院, 2016, 20(11): 16-19.

1. 姜雪, 郎红娟, 李娟, 等. 基于标准化管理的手术运行管理策略对手术室工作效率的影响. 护理研究, 2017, 31(18): 2297-2299.
2. 朱琴, 颜巧元. 患者参与患者安全标准化管理方案的研究现状及启示. 中华护理杂志, 2018, 53(7): 893-896.
3. 马学先, 修燕, 李勇, 等. 标准化管理推进研究型医院建设与发展. 中国研究型医院, 2016, 3(4): 3-6.
4. 张珊珊, 常红, 张彩英. 难治性癫癎患者视频脑电监测管理的效果研究. 护理管理杂志, 2017, 17(1): 70-71.
5. 吴金凤, 张亚, 王海艳, 等. 集束化护理在降低儿童视频脑电图伪差发生的效果评价. 中国实用神经疾病杂志, 2018, 21(1): 103-105.
6. 陈洁, 邓淑红, 徐芳. 医护一体标准化管理模式在电子医嘱流程中的应用. 中国当代医药, 2017, 24(5): 166-168.
7. 张爱琴, 臧季贤, 孙琳, 等. 标准化管理在护理质量建设中的应用及效果. 护理管理杂志, 2016, 16(9): 638-640.
8. 冯丹, 朱玉, 张黎明, 等. 门急诊标准与标准化管理. 中国卫生质量管理, 2016, 23(1): 12-14.
9. DeVries-Rizzo M, Canadian Epilepsy Nursing Group. A description of Canadian epilepsy monitoring units: an initial step toward developing nursing practice consensus guidelines. Epilepsy Behav, 2016, 57(Pt A): 145-150.
10. Spritzer SD, Riordan KC, Berry J, et al. Fall prevention and bathroom safety in the epilepsy monitoring unit. Epilepsy Behav, 2015, 48: 75-78.
11. 刘学英, 陈冰, 阮小玲, 等. 伤口造口门诊的标准化管理. 护理学杂志, 2017, 32(22): 41-43.
12. 胡佩佩, 景婧. 肿瘤科护士参与多学科团队的获益、挑战及应对策略. 中国护理管理, 2018, 18(4): 538-542.
13. 冯丹, 沈迪, 高博, 等. 大型综合性医院疑难危重病例标准化管理实践. 中国医院, 2016, 20(11): 10-15.
14. 中国抗癫痫协会常务理事. 癫痫中心分级标准(试行)2016年10月修改. 癫痫杂志, 2017, 3(3): 243-247.
15. 中国抗癫痫协会常务理事及顾问. 加强癫痫中心的分级管理. 癫痫杂志, 2017, 3(4): 338-339.
16. Holland C, Edward KL, Giandinoto JA. Nursing and focal dyscognitive seizures: a clinical update when managing risk using advanced nursing skills. J Neurosci Nurs, 2017, 49(3): 164-168.
17. Hill CE, Thomas B, Sansalone K, et al. Improved availability and quality of care with epilepsy nurse practitioners. Neurol Clin Pract, 2017, 7(2): 109-117.
18. 刘芬. 视频脑电图检测对脑性瘫痪合并癫痫患儿预后的评估价值. 中国实用神经疾病杂志, 2018, 21(3): 270-272.
19. 张洋, 樊庆雷, 茹珊, 等. 视频脑电图鉴别诊断癫痫患者睡眠障碍、认知障碍的临床价值研究. 现代生物医学进展, 2018, 18(5): 894-897.
20. 宋战义, 李沁晏, 廉荣镇, 等. 视频脑电图与全身运动质量评估在新生儿缺血缺氧性脑病神经发育结局中的预测价值. 湘南学院学报(医学版), 2017, 19(1): 1-5.
21. 景玮, 张宁, 陈浩, 等. 神经内科重症监护病房中持续脑电监测对癫痫持续状态的诊治价值. 实用医技杂志, 2017, 24(12): 1362-1363.
22. Ahlin K, Jacobsson B, Nilsson S, et al. Antecedents and neuroimaging patterns in cerebral palsy with epilepsy and cognitive impairment: a population-based study in children born at term. Acta Obstet Gynecol Scand, 2017, 96(7): 828-836.
23. 徐丙超, 周芯羽, 籍牛, 等. 视频脑电图和磁共振成像对继发性癫痫的诊断价值. 广东医学, 2016, 37(4): 551-554.
24. Watson F, Rusbridge C, Packer RMA, et al. A review of treatment options for behavioural manifestations of clinical anxiety as a comorbidity in dogs with idiopathic epilepsy. Vet J, 2018, 238: 1-9.
25. Liu G, Slater N, Perkins A. Epilepsy: treatment options. Am Fam Physician, 2017, 96(2): 87-96.
26. 刘月辉, 朱培渊, 李顺飞, 等. 手术服务标准化管理成效. 中国医院, 2016, 20(11): 16-19.

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