异常值或移交:通用医学住院患者的结果
S Thompkins1, S Schaefer2, D Toh1
1Central Adelaide Local Health Network, Adelaide, SA, Australia.
概括
在通用医学住院患者入院后24小时内移交患者护理服务与更长的住院时间有关. 异常状态在本研究中没有显著影响患者的结果.
科学领域:
- 内部医学 内部医学
- 医院管理局 医院管理局
- 患者安全 患者安全
背景情况:
- 被录取到通用医疗的患者可能会被安置到他们录取团队的病房或转移 ("异常"状态).
- 护理可能会转移到病房的团队,影响患者的管理和结果.
研究的目的:
- 分析异常状态和护理转移对通用医学住院患者结果的影响.
- 确定影响医院内并发症,死亡率和住院时间的因素.
主要方法:
- 在皇家阿德莱德医院 (2020年9月 - 2021年11月) 的3109例通用医学入院病例的回顾性分析.
- 检查了在医院获得的并发症,住院患者死亡率,48小时死亡率,相对停留指数,出院时间和28天的不良事件.
主要成果:
- 在入院后24小时内交付与更长的逗留时间相关联.
- 随着护理转移,在出院后28天内观察到增加不良事件的趋势.
- 异常状态并没有对任何测量结果产生重大影响.
结论:
- 早期的护理交接 (24小时内) 与一般医学患者的长期住院住院有关.
- 需要进一步研究早期移交对患者安全和资源利用的影响.
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