RT期刊文章SR电子T1质量改进项目来提高学员开具心脏骤停后感染神经预后指南(S8.004)摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP S8.004 VO 86是16补充A1 Proleta Datta A1珍妮弗·帕迪拉马丁内斯A1 Omotola希望A1 Huimahn崔年2016 UL http://n.n首页eurology.org/content/86/16_Supplement/S8.004.abstract AB目的:建立当前河畔遵守指导方针的神经预后心脏骤停后在三级医院神经病学学员,提高合规识别潜在的障碍,制定解决方案。背景:神经预后昏迷的幸存者在心肺复苏(CPR)是一种常见的神经系统咨询。撤军的生命支持通常是基于神经学家的评估有意义的复苏。我们假设潜在障碍后指导方针包括学员之间缺乏知识。方法:我们使用Plan-Do-Study-Act周期结构的过程改进。实习生(15居民和3 neurocritical护理人员)有一个5的问题预先测试。患者心肺复苏的过程代码和神经学咨询在综述了10/2014-8/2015的时期。首页咨询的十五符合入选标准的患者进行了评估。适当的临床考试合格成绩,混杂因素,调查和预后进行了计算。第二次迭代PDSA周期将包括神经学教育学员,提供一个模板用于磋商之前执行post测试和重复图表回顾。首页 Results: Trainee test scores showed that 61[percnt] were aware of clinical correlates of poor prognosis. Less than 20[percnt] were able to correctly identify all confounders and investigations with good evidence for prognostication. The most common misconception (39[percnt]) was that there is good evidence that an abnormal MRI is indicative of poor outcome. Review of consultation notes showed 86[percnt] had appropriate documentation of clinical exams and confounders to neurological exam. However, only 57[percnt] of patients were given appropriate prognosis per AAN guidelines. Conclusions: Trainees are not knowledgeable about all aspects of the AAN guidelines on prognosis after cardiac arrest. A 5 month follow up on compliance scores after interventions of educational sessions and mandatory use of a template in consult notes will be performed and presented. Disclosure: Dr. Datta has nothing to disclose. Dr. Padilla Martinez has nothing to disclose. Dr. Hope has nothing to disclose. Dr. Choi has nothing to disclose.Saturday, April 16 2016, 4:30 pm-5:30 pm