神经外科高级观察床 (HOB) 对服务提供的影响:单中心经验和成本分析
Vassili Crispi1,2, William Bolton1,2, Rebecca Town1
1Department of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
BMJ open
|July 14, 2023
概括
高级观察床 (HOB) 可以通过管理急性不良的神经外科患者来降低医疗保健成本并防止取消手术. 这种方法显示出优化医院内服务提供和资源配置的潜力.
科学领域:
- 神经外科的护理是神经外科的护理.
- 医疗保健管理的管理
- 优化患者流动,优化患者流动.
背景情况:
- 高层观察床 (HOB) 越来越多地用于急性不良患者.
- 将HOB与高度依赖单位 (HDU) 和神经外科重症监护单位 (NICU) 进行比较,对于服务提供和成本效益至关重要.
研究的目的:
- 评估1级高层观察床 (HOBs) 与HDU和NICU入院对服务提供的影响,包括取消的操作.
- 评估HOBs对医疗保健成本的影响.
主要方法:
- 在英国神经外科中心进行的一项回顾性,观察性,单中心研究.
- 包括接受神经外科HOB治疗的成年患者 (2021年12月 - 2022年7月).
- 对取消的程序 (2019-2022) 和成本数据 (2019/2020,2021/2022) 的分析.
主要成果:
- 97%的HOB患者被送回家;只有7人需要升级到更高的护理水平.
- 在取消的运营中,HOBs可能避免了37.8%,每年节省约22,923.50英.
- 住宿一日费用各不相同:病房 (384英),一级HOB (376英),二级 (787-1211英),三级 (1628英).
结论:
- 在病房设置中,HOB在管理急性不良的神经外科患者方面发挥着重要作用.
- 这项研究强调了HOBs在降低医疗保健成本和改善服务提供方面的潜力.
- 需要进一步的研究来比较HOB与HDU和NICU,以了解患者的康复和结果.
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