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, 郎紅娟, 李娟, 等. 基于標準化管理的手術運行管理策略對手術室工作效率的影響. 護理研究, 2017, 31(18): 2297-2299.
2.	朱琴, 顏巧元. 患者參與患者安全標準化管理方案的研究現狀及啟示. 中華護理雜志, 2018, 53(7): 893-896.
3.	馬學先, 修燕, 李勇, 等. 標準化管理推進研究型醫院建設與發展. 中國研究型醫院, 2016, 3(4): 3-6.
4.	張珊珊, 常紅, 張彩英. 難治性癲癎患者視頻腦電監測管理的效果研究. 護理管理雜志, 2017, 17(1): 70-71.
5.	吳金鳳, 張亞, 王海艷, 等. 集束化護理在降低兒童視頻腦電圖偽差發生的效果評價. 中國實用神經疾病雜志, 2018, 21(1): 103-105.
6.	陳潔, 鄧淑紅, 徐芳. 醫護一體標準化管理模式在電子醫囑流程中的應用. 中國當代醫藥, 2017, 24(5): 166-168.
7.	張愛琴, 臧季賢, 孫琳, 等. 標準化管理在護理質量建設中的應用及效果. 護理管理雜志, 2016, 16(9): 638-640.
8.	馮丹, 朱玉, 張黎明, 等. 門急診標準與標準化管理. 中國衛生質量管理, 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.	劉學英, 陳冰, 阮小玲, 等. 傷口造口門診的標準化管理. 護理學雜志, 2017, 32(22): 41-43.
12.	胡佩佩, 景婧. 腫瘤科護士參與多學科團隊的獲益、挑戰及應對策略. 中國護理管理, 2018, 18(4): 538-542.
13.	馮丹, 沈迪, 高博, 等. 大型綜合性醫院疑難危重病例標準化管理實踐. 中國醫院, 2016, 20(11): 10-15.
14.	中國抗癲癇協會常務理事. 癲癇中心分級標準(試行)2016年10月修改. 癲癇雜志, 2017, 3(3): 243-247.
15.	中國抗癲癇協會常務理事及顧問. 加強癲癇中心的分級管理. 癲癇雜志, 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.	劉芬. 視頻腦電圖檢測對腦性癱瘓合并癲癇患兒預后的評估價值. 中國實用神經疾病雜志, 2018, 21(3): 270-272.
19.	張洋, 樊慶雷, 茹珊, 等. 視頻腦電圖鑒別診斷癲癇患者睡眠障礙、認知障礙的臨床價值研究. 現代生物醫學進展, 2018, 18(5): 894-897.
20.	宋戰義, 李沁晏, 廉榮鎮, 等. 視頻腦電圖與全身運動質量評估在新生兒缺血缺氧性腦病神經發育結局中的預測價值. 湘南學院學報(醫學版), 2017, 19(1): 1-5.
21.	景瑋, 張寧, 陳浩, 等. 神經內科重癥監護病房中持續腦電監測對癲癇持續狀態的診治價值. 實用醫技雜志, 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. 視頻腦電圖和磁共振成像對繼發性癲癇的診斷價值. 廣東醫學, 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.	劉月輝, 朱培淵, 李順飛, 等. 手術服務標準化管理成效. 中國醫院, 2016, 20(11): 16-19.

1. 姜雪, 郎紅娟, 李娟, 等. 基于標準化管理的手術運行管理策略對手術室工作效率的影響. 護理研究, 2017, 31(18): 2297-2299.
2. 朱琴, 顏巧元. 患者參與患者安全標準化管理方案的研究現狀及啟示. 中華護理雜志, 2018, 53(7): 893-896.
3. 馬學先, 修燕, 李勇, 等. 標準化管理推進研究型醫院建設與發展. 中國研究型醫院, 2016, 3(4): 3-6.
4. 張珊珊, 常紅, 張彩英. 難治性癲癎患者視頻腦電監測管理的效果研究. 護理管理雜志, 2017, 17(1): 70-71.
5. 吳金鳳, 張亞, 王海艷, 等. 集束化護理在降低兒童視頻腦電圖偽差發生的效果評價. 中國實用神經疾病雜志, 2018, 21(1): 103-105.
6. 陳潔, 鄧淑紅, 徐芳. 醫護一體標準化管理模式在電子醫囑流程中的應用. 中國當代醫藥, 2017, 24(5): 166-168.
7. 張愛琴, 臧季賢, 孫琳, 等. 標準化管理在護理質量建設中的應用及效果. 護理管理雜志, 2016, 16(9): 638-640.
8. 馮丹, 朱玉, 張黎明, 等. 門急診標準與標準化管理. 中國衛生質量管理, 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. 劉學英, 陳冰, 阮小玲, 等. 傷口造口門診的標準化管理. 護理學雜志, 2017, 32(22): 41-43.
12. 胡佩佩, 景婧. 腫瘤科護士參與多學科團隊的獲益、挑戰及應對策略. 中國護理管理, 2018, 18(4): 538-542.
13. 馮丹, 沈迪, 高博, 等. 大型綜合性醫院疑難危重病例標準化管理實踐. 中國醫院, 2016, 20(11): 10-15.
14. 中國抗癲癇協會常務理事. 癲癇中心分級標準(試行)2016年10月修改. 癲癇雜志, 2017, 3(3): 243-247.
15. 中國抗癲癇協會常務理事及顧問. 加強癲癇中心的分級管理. 癲癇雜志, 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. 劉芬. 視頻腦電圖檢測對腦性癱瘓合并癲癇患兒預后的評估價值. 中國實用神經疾病雜志, 2018, 21(3): 270-272.
19. 張洋, 樊慶雷, 茹珊, 等. 視頻腦電圖鑒別診斷癲癇患者睡眠障礙、認知障礙的臨床價值研究. 現代生物醫學進展, 2018, 18(5): 894-897.
20. 宋戰義, 李沁晏, 廉榮鎮, 等. 視頻腦電圖與全身運動質量評估在新生兒缺血缺氧性腦病神經發育結局中的預測價值. 湘南學院學報(醫學版), 2017, 19(1): 1-5.
21. 景瑋, 張寧, 陳浩, 等. 神經內科重癥監護病房中持續腦電監測對癲癇持續狀態的診治價值. 實用醫技雜志, 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. 視頻腦電圖和磁共振成像對繼發性癲癇的診斷價值. 廣東醫學, 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. 劉月輝, 朱培淵, 李順飛, 等. 手術服務標準化管理成效. 中國醫院, 2016, 20(11): 16-19.

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Application and evaluation of standardized management in video-electro-encephalogram monitoring

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