先进实践提供者领导的诊所,用于新诊断的静脉血栓塞栓症的护理过渡:建立和利用
Cassiopeia Frank1, Raj Kasthuri1, Nigel S Key1
1University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Research and practice in thrombosis and haemostasis
|July 7, 2023
概括
一个先进的实践提供者领导的诊所改善了静脉血栓栓塞 (VTE) 患者的护理过渡. 静脉动脉突发症过渡诊所证明了可行性,增加了利用率,并为多样化的患者群体提供服务.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 医疗保健管理的管理
背景情况:
- 静脉血栓塞栓症 (VTE) 患者通常在急诊室 (ED) 接受初始抗凝药.
- 从ED过渡的VTE患者的门诊随访和专科护理可能是不理想的.
- 对于在门诊治疗的患者来说,护理协调和支持存在差距.
研究的目的:
- 为VTE患者建立一个先进实践提供者 (APP) 领导的快速后续诊所.
- 为了提高深静脉血栓塞 (DVT) 和低风险肺栓塞 (PE) 患者的护理过渡.
- 为了提供持续的专业护理,管理并发症,并解决药物获取问题.
主要方法:
- 一个APP主导的诊所的开发,专注于VTE护理过渡.
- 在两年内评估临床利用情况,转诊模式和患者人口统计数据.
- 收集关于转诊患者标准护理偏差的数据.
主要成果:
- 该诊所表现出稳定的利用增长,在前两年为229名患者提供服务.
- 超过10%的患者需要财政援助来购买抗凝血药物.
- 在12.7%的患者中发现了与标准护理的偏差,包括药物错误和错误分类.
- 观察到患者多样性的增加,突出显示了对翻译教育材料的需求.
结论:
- 由APP领导的VTE过渡诊所是改善VTE护理的可行模型.
- 该诊所成功地增加了利用率,并为不断增长,多样化的患者群体提供服务.
- 需要进一步努力,以解决患者教育和药物获取问题,特别是在服务不足的社区.
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