在一个农村明尼苏达州社区医院实施儿科病床优先级处理过程
Brian N Bartlett1, Shylah A Cassidy2, Tiffany L Geib2
1Clinical Practice, Mayo Clinic Health System, Southwest Minnesota region, Mankato, MN, USA.
Healthcare (Amsterdam, Netherlands)
|August 1, 2023
概括
医院在COVID-19期间将儿科病房改为成人护理,影响了儿科病床的可用性. 一项新的指导方针优先考虑儿科患者,减少了40%的转移.
科学领域:
- 医疗保健管理的管理
- 儿科医院医药 儿科医院医药
- 公共卫生 公共卫生
背景情况:
- 在COVID-19大流行期间,医院面临着住院患者容量挑战.
- 位于明尼苏达州西南部的梅奥诊所卫生系统由于需求高,将其儿科病房重新定位为成人病房.
- 这导致儿科病床的可用性减少,并增加了儿科患者的转移距离.
研究的目的:
- 评估儿童病房对成人病人的重新定位对儿童病房的影响.
- 制定和评估一种策略,以减轻对儿科患者护理的负面影响.
- 改善儿科病床的可用性,减少患者转移.
主要方法:
- 实施儿科病床优先安排指南.
- 优先考虑儿科病人的儿科病房的最后一张可用的住院病床.
- 在指南实施之前和之后,对儿科患者转移的数据分析.
主要成果:
- 在实施优先准则后,儿科转移减少了40%.
- 该指南成功确保了儿科患者得到及时的护理.
- 由于儿科患者平均住院时间较短,因此观察到更多的独特患者入院.
结论:
- 儿科病床优先级指导方针有效地减少了在容量危机期间的儿科病床转移.
- 这一战略可以改善农村地区儿科患者获得护理的机会.
- 将儿科病房改为成人病房需要谨慎管理,以保持儿科护理标准.
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