在医学上准备出院:对住院患者的多站点"时间点"评估
Maralyssa Bann1,2, Nicholas Meo1,2, J P Lopez3
1University of Washington School of Medicine, Seattle, Washington, USA.
Journal of hospital medicine
|August 9, 2023
概括
许多住院患者已经准备好出院,但由于主要障碍,他们面临延迟,往往需要支持服务. 这些出院延迟显著影响住院时间 (LOS),在公共医院更为普遍.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 患者流量 患者流量
背景情况:
- 在满足急性护理需求后,长时间住院有助于整体住院时间 (LOS).
- 了解这些延迟的发生率和原因对于优化医院资源利用至关重要.
研究的目的:
- 量化患者在急性护理需求得到解决后仍然住院的患病率和影响.
- 确定导致长时间住院的因素,特别关注主要的出院障碍.
主要方法:
- 在2022年秋季在15家美国学术医院进行了一项横截面的时间点调查.
- 急症医疗护理医生收集了准备出院的患者的数据,重点关注那些有重大出院障碍的人 (医疗准备≥1周).
主要成果:
- 35.0%的受访患者在医学上已经准备好出院,9.8%的患者遇到重大出院障碍.
- 在那些有重大障碍的人中,44.4%的人等了≥1个月,通常需要熟练的治疗或日常生活支持服务.
- 在公共 (12.0%) 与私人,非营利性医院 (7.2%) 和县 (14.5%) 与非县医院 (8.8%) 之间,主要的出院障碍更为频繁.
结论:
- 相当数量的患者在美国医院面临重大出院障碍,导致长时间住院.
- 这些障碍往往与临床医生无法控制的支持服务有关,突出显示出出院计划中的系统性问题.
- 出院延误不成比例地影响公立和县医院,这表明需要有针对性的干预措施.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.3K
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
相关概念视频
01:31Discharge Summary Forms
783
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
783
01:21Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
01:19Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
01:20Rheumatic Heart Disease IV: Nursing Management
18
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
18
01:23Assessment of Respiration
1.2K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.2K
01:29SBAR I: Understanding the Concept
4.6K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.6K