建立和维持一个急性护理的老人单位:一个渐进的成功之旅
David H Lynch1, Kimberly Mournighan1, Maureen Dale1
1Division of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
建立老年急性护理 (ACE) 部门需要一个结构化的质量改进过程. 这种代方法成功实施了ACE单位模型,改善了患者的治疗结果和全医院的举措.
科学领域:
- 老年医学 老年医学
- 改善医疗保健质量 改善医疗保健质量
- 医院管理局 医院管理局
背景情况:
- 老年急性护理 (ACE) 单位被证明可以减少与医院相关的妄想,功能下降和住院时间.
- 建立和维持ACE单位是具有挑战性的,在美国的采用有限.
研究的目的:
- 描述一种代的质量改进过程,以建立和维持学术医院的ACE单位护理模式.
- 通过关键绩效指标来证明ACE单位模型的有效性.
主要方法:
- 实施核心ACE单位原则:以患者为中心的评估,医疗护理审查,专业环境,早期动员,物理治疗和出院规划.
- 利用持续质量改进框架来完善和维持ACE单位模型.
- 收集和分析患者结果数据.
主要成果:
- 实现死亡指数始终低于1 (FY22:0.86).
- 维持了30天再接收率低于10% (FY22:9.31%).
- 证明了接近1的逗留时间指数 (FY22: 1.07).
结论:
- 一个代的质量改进过程可以成功建立和维持一个ACE单位.
- 该ACE单位模型导致了积极的患者结果和全医院的举措,如痴呆症友好认证.
- 这一过程可以指导ACE单位模型向其他医疗保健机构传播.
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