{"id":12452,"date":"2025-03-23T10:55:54","date_gmt":"2025-03-23T09:55:54","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=12452"},"modified":"2025-09-02T21:38:08","modified_gmt":"2025-09-02T19:38:08","slug":"tidlig-opsporing-og-triage-i-primaersektoren-et-kvalitetsudviklingsprojekt","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/03\/23\/tidlig-opsporing-og-triage-i-primaersektoren-et-kvalitetsudviklingsprojekt\/","title":{"rendered":"Tidlig opsporing og triage i prim\u00e6rsektoren \u2013 et kvalitetsudviklingsprojekt"},"content":{"rendered":"

\"\"<\/p>\n

Maria Mortensen, University College, Diakonissestiftelsen. Vejleder: Annette Mollerup.<\/span> BA-projekt afleveret 04.10.24<\/span><\/p>\n

Download Resume som pdf<\/a><\/p>\n

Download BA-projektet<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>Udviklingen i sundhedsv\u00e6senet og de stigende krav til det n\u00e6re sundhedsv\u00e6sen fordrer, at sygeplejen i det prim\u00e6re sundhedsv\u00e6sen er af h\u00f8j kvalitet.
\n<\/span>P\u00e5 trods af at triage og tidlig opsporing har v\u00e6ret implementeret i prim\u00e6rsektoren siden 2017, s\u00e5 findes der ikke meget forskning om emnet. Dette kvalitetsudviklingsprojekt unders\u00f8gte, hvordan sundhedspersonalet i en kommune efterlevede en lokal instruks for tidlig opsporing og triage.<\/span><\/p>\n

Metode
\n<\/span><\/strong>En kvantitativ journalaudit af 61 journaler og et struktureret sp\u00f8rgeskema til personalet (n=29) udgjorde grundlaget for kvalitetsvurderingen, som blev analyseret ved brugen af deskriptiv statistik. Auditten kortlagde proceskvaliteten af ydelserne leveret til borgerne relateret til den lokale instruks.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Ud af fire opstillede procesindikatorer blev tre ud af fire kvalitetsm\u00e5l betragtet som utilfredsstillende. Is\u00e6r manglende dokumentation i triageplanerne og opf\u00f8lgning p\u00e5 triageplanerne indikerede et kvalitetsbrist. Sp\u00f8rgeskemaet viste en uoverensstemmelse mellem, hvordan personalet opfattede deres brug af instruksen sammenlignet med, hvad der faktisk fremgik af auditten.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Afvigelserne fra instruksen kan sammenholdes med det praktiske integrationsniveau af instruksen, der kan skyldes b\u00e5de personlige og organisatoriske faktorer. Is\u00e6r ser det ud til, at det fulde potentiale af det tilh\u00f8rende digitale v\u00e6rkt\u00f8j til tidlig opsporing ikke blev udnyttet.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Det konkluderes, at personalet i kommunen i st\u00f8rstedelen af tilf\u00e6ldene ikke efterlevede instruksen for tidlig opsporing og triage, men at der er et l\u00e6ringspotentiale i at fors\u00e6tte med at kvalitetsudvikle p\u00e5 omr\u00e5det. Dokumentationspraksissen var ikke ensartet, hvilket kan p\u00e5virke patientsikkerheden og kvaliteten af de leverede ydelser til borgerne, n\u00e5r der ikke er en gennemg\u00e5ende systematik i arbejdsgangen blandt sundhedspersonalet.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Der er behov for mere undervisning i brugen af digital tidlig opsporing og triage for at l\u00f8fte medarbejdernes e-sundhedskompetence, samt sikre en ensartet dokumentationspraksis for at implementeringen af instruksen kan opn\u00e5s.<\/span><\/p>\n

Kontaktoplysninger: <\/span><\/strong>Maria Mortensen, sygeplejerske, Lunge- og infektionsmedicinsk L23 Bispebjerg Hospital<\/span> Mariaroholt@gmail.com<\/a><\/p>\n


\nEarly detection of deterioration and triage in the primary <\/span>health care sector- a quality assessment study<\/span><\/h3>\n

Clinical dissertation by Maria Mortensen . University College, Diakonissestiftelsen. <\/span>Submitted 04.10.24 . Supervisor: Annette Mollerup.<\/span><\/p>\n

Introduction
\n<\/span><\/strong>The development in the healthcare sector and the increasing demands on primary healthcare require that the care provided in the primary healthcare system is of high quality. <\/span>Even though triage and early detection of deterioration have been implemented in the primary sector since 2017, there is limited research on the topic. This quality assessment studied whether the healthcare personnel in a municipality adhered to a local guideline regarding early detection of deterioration and triage.<\/span><\/p>\n

Method
\n<\/span><\/strong>A quantitative journal audit of 61 patient records and a structured questionnaire for the staff (n=29) formed the basis for the quality assessment, which was analyzed using descriptive statistics. The audit mapped the process quality of services provided to citizens related to the local guideline.<\/span><\/p>\n

Results
\n<\/span><\/strong>Three out of four quality indicators were considered unsatisfying. Especially the documentation and follow-up on the triage care plans indicated a lack of quality. The questionnaire showed a discrepancy between how the workers perceived their usage of the guideline compared to what was evident from the journal audit.<\/span><\/p>\n

Discussion
\n<\/span><\/strong>The deviations from the guideline can be related to the practical implementation of the guideline, which may be due to both personal and organizational factors. <\/span>Particularly, it seems that the full potential of the associated digital tool was not achieved<\/span><\/p>\n

Conclusion
\n<\/span><\/strong>The staff in the municipality, in most cases, did not adhere to the guideline, but there is a learning potential in continuing to develop on the process quality in this area. Documentation practices were not consistent, which may affect patient safety, and the quality of services provided to citizens when there is no consistent system in place among healthcare staff.<\/span><\/p>\n

Implications for Practice
\n<\/span><\/strong>There is need for more training in the use of the digital tool to enhance employees’ e-health competencies and ensure consistent documentation practices so that the implementation of the guideline can be achieved.<\/span><\/p>\n

For further information, Maria Mortensen, RN can be contacted at: <\/span>Mariaroholt@gmail.com<\/a><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Maria Mortensen, University College, Diakonissestiftelsen. Vejleder: Annette Mollerup. BA-projekt afleveret 04.10.24 Download Resume som pdf Download BA-projektet Introduktion Udviklingen i […]<\/p>\n","protected":false},"author":1,"featured_media":12453,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false,"_members_access_role":[],"_members_access_error":""},"categories":[114],"tags":[],"class_list":["post-12452","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kvantitative-studier"],"acf":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/03\/10.png?fit=800%2C800&quality=80&ssl=1","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/12452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/comments?post=12452"}],"version-history":[{"count":1,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/12452\/revisions"}],"predecessor-version":[{"id":17772,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/12452\/revisions\/17772"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media\/12453"}],"wp:attachment":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=12452"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=12452"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=12452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}