在骨科诊所优化PROM实施,以长度监测结果:多站点研究的经验教训
Joint Commission journal on quality and patient safety
|July 16, 2023
概括
收集患者报告的结果措施 (PROMs) 是可行的,使用多式模式策略. 通过共享知识 (ASK) 进行的关节炎护理研究表明,骨科实践中PROM完成率有所改善.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 患者报告的结果衡量结果.
背景情况:
- 系统地收集患者报告的结果指标 (PROM) 对诊所提出了挑战,尤其是远程诊所.
- 通过共享知识 (ASK) 研究的关节炎护理旨在克服这些挑战.
研究的目的:
- 实施和评估一种多式联络方法,用于在骨科实践中收集PROM.
- 评估临床微系统框架在支持PROM收集和使用方面的有效性.
主要方法:
- 通过使用临床微系统模型来实施共享PROM收集流程,12家骨科实践机构接受了指导.
- 通过在线评估收集新患者的PROM,并在6个月和12个月后通过电子邮件和电话提醒访问前访问.
主要成果:
- 大约60%的新患者完成了访问前的PROM,其中36.6%在一封电子邮件后完成在线PROM,31.1%在额外的联系后完成在线PROM.
- 在符合条件的患者中,超过83%完成了6个月和12个月的随访调查,超过91%完成了至少一个访问后的PROM.
结论:
- 由临床微系统方法指导的多模式PROM收集策略有效地支持持续的PROM完成率.
- 需要进行进一步的研究,以提高患者对了解和报告PROM的参与度,以获得知情的护理.
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