管理关键护理:远程决策对患者结果的影响
Patrick Essay1, Tianyi Zhang, Jarrod Mosier
1Department of Systems and Industrial Engineering, College of Engineering, The University of Arizona, 1127 E James E. Rogers Way, Tucson, AZ 85721-0020.
The American journal of managed care
|July 31, 2023
概括
远程重症监护室 (tele-ICU) 的使用正在增长. 较高的远程ICU干预水平并没有对患者的结果产生负面影响,这表明远程护理可以安全地集成到重症监护过程中.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 远程重症监护室 (tele-ICU) 服务越来越多地被用于扩展重症患者的病床护理.
- 现有的研究往往忽视了远程和临床医疗保健提供者之间的细微决策权,影响了结果分析.
研究的目的:
- 评估远程ICU在重症监护过程中的参与程度.
- 评估远程ICU决策权力对患者结果的影响.
主要方法:
- 对82,049名危急病患者的人口统计和患者结局数据的分析,涉及不同级别的远程ICU干预.
- 多变量后勤回归以确定死亡率,再接收和干预类别分配的几率.
主要成果:
- 管理医生类型和更高的远程ICU干预水平显著影响了患者死亡率和ICU再接收率.
- 女性性别和疾病严重程度等因素增加了再入院几率,而更长的ICU停留时间和咨询医生的角色减少了它们.
结论:
- 增加远程ICU干预水平似乎不会对患者的结果产生不利影响.
- 远程干预水平可能与患者的严重程度相关,需要进一步调查决策权威及其临床影响.
相关概念视频
Methods of Documentation VI: Case Management Model
598
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
598
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K


