数据驱动分析发现APRN对养老院住院的影响:因果发现分析
Knoo Lee1, Erich Kummerfeld2, Erin Robinson3
1Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.
在养老院 (NHs) 的高级实践注册护士 (APRNs) 通过促进及时的护理和沟通来改善居民的结果. 这项研究确定了减少住院病人的特定APRN活动,突出了它们在NHs中的关键作用.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
背景情况:
- 养老院居民有住院的高风险.
- 在养老院 (NHs) 嵌入的高级实践注册护士 (APRNs) 与减少住院治疗有关.
- 需要进一步调查APRN活动与减少住院治疗之间的特定因果关系.
研究的目的:
- 确定APRN活动与养老院居民住院治疗之间的因果关系.
- 检查先进指令,临床诊断和住院时间对这些关系的影响.
主要方法:
- 密苏里州养老院质量倡议干预 (2016-2019) 的二次数据分析.
- 利用因果发现分析,一种机器学习技术,来确定因果关系.
- 综合居民名单和住院数据集;专家共识验证了结果.
主要成果:
- 分析了1161起住院事件和相关的NH活动.
- APRNs评估了居民,加快了评估,并授权了转移.
- 在APRN活动和临床诊断之间没有发现显著的因果关系;与先进指令和住院时间注意到复杂的关系.
结论:
- 通过加强沟通和早期干预,国家公路的APRN对于改善居民的结果至关重要.
- APRNs可以加快转移,减少医生订单的需要.
- 对APRN服务的预算可能是一个具有成本效益的策略,以减少NH住院治疗.
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