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改善住院外科皮肤病护理转换项目的演变:混合方法评估

Samantha M R Kling¹, Maria A Aleshin², Erika A Saliba-Gustafsson¹

¹Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.

JMIR dermatology

|August 26, 2023

概括

使用SmartPhrase的新电子健康记录 (EHR) 工作流改善了对门诊皮肤病的过渡,增加了及时的随访,并减少了消息工作负载,以改善患者护理.

科学领域:

改善医疗保健质量改善医疗保健质量
医疗信息学医疗信息学
皮肤病学皮肤病学

背景情况:

医院内皮肤病护理越来越依赖于咨询,需要有效的门诊随访.
从住院到门诊专科护理的过渡至关重要,但往往面临沟通和工作流程的挑战.

研究的目的:

开发和评估基于电子健康记录 (EHR) 的干预措施,以改善从住院患者到门诊皮肤病的过渡.
提高退院后专科护理的及时性和效率.

主要方法:

一个三阶段质量改进项目,涉及患者访谈,利益相关者流程映射和使用SmartPhrase进行干预改进.
评估包括对调度效率,访问完成率和消息量进行实施前后分析.

主要成果:

智能短语干预简化了工作流程,提高了安排效率,并增加了患者参与后续规划.
在实施后,与实施前 (45%) 相比,在14天内完成访问的患者比例更高 (68%).
消息工作量显著减少,干预后每位患者发送的消息减少.

结论:

多方面的解决方案对于复杂的住院到门诊专科护理过渡至关重要.
将像SmartPhrase这样的EHR功能集成到标准化工作流中,可以成功地提高护理及时性并减少工作量.

关键词:

护理过渡护理过渡咨询性皮肤科咨询性皮肤科皮肤学皮肤学放电规划计划放电规划后续行动后续行动在住院患者.门诊患者的治疗方式远程皮肤学远程皮肤学

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