کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2645011 1138456 2016 6 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Screening for diabetic kidney disease in primary care for the underinsured: A quality improvement initiative
ترجمه فارسی عنوان
غربالگری بیماری کلیه دیابتی در مراقبت های اولیه برای بیمه های تحت پوشش: ابتکار بهبود کیفیت
کلمات کلیدی
بیماری کلیوی دیابتی؛ بیماری مزمن کلیوی؛ بهبود کیفیت؛ تحت پوشش بیمه؛ غربالگری؛ دیابت
Diabetic kidney disease; Chronic kidney disease; Quality improvement; Underinsured; Screening; Diabetes
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

PurposeScreening rates for DKD in primary care are low, even though diabetes accounts for 44% of all new kidney disease cases. The purpose of this project was to determine if a primary care team for the underinsured improved screening and diagnosis of diabetic kidney disease (DKD) after initiating a quality improvement (QI) process.MethodsA chart audit with feedback, provider education of clinical practice guidelines, and strategies from TeamSTEPPS™ were implemented with the inter-professional primary care team.ResultsPre/post-intervention chart audit analysis showed the frequency of ordering microalbumin increased from 50.3% (n = 148) to 75% (n = 148), and diagnosing DKD rose from 3.3% (n = 10) to 10.7% (n = 21) over three months (P = .000).ConclusionImplementing a QI process in underinsured primary care centers improved the compliance of proper screening and diagnosing DKD AND introduced inter-professional practice competencies and teamwork strategies not previously recognized at the centers.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Applied Nursing Research - Volume 30, May 2016, Pages 148–153
نویسندگان
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