在初级保健中患者刺激的防摔查:提供者编码变化的分析
1San Diego Department of Medicine, Department of Family Medicine, University of California, 8899 University Center Lane, St 4000, La Jolla, CA, 92037, USA. rjmoran@health.ucsd.edu.
BMC primary care
|September 14, 2023
概括
将以患者为中心的跌倒风险查计划集成到初级保健诊所中,使与跌倒相关的ICD-10编码增加了4.7%. 在繁忙的实践中,STEADI工具显示了改善落选的潜力.
科学领域:
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
- 主要护理医学 医疗保健
背景情况:
- 疾病控制和预防中心 (CDC) 开发了STEADI (阻止老年人事故,死亡和受伤) 工具,用于查跌倒风险.
- 在常规临床实践中慢慢采用 STEADI 工具,需要创新的实施策略.
研究的目的:
- 加强查跌倒和跌倒风险在一个繁忙的学术内科初级保健机构.
- 评估以患者为中心的查计划的有效性,并将其整合到常规临床工作流程中.
主要方法:
- 在三个月内实施了一项以患者为中心的查计划,利用等待室海报,STEADI保持独立问卷和随时可用的防摔手册.
- 问卷和小册子上的唯一标识符,加上Epic Slicer-Dicer报告,便于评估与倒查相关的ICD-10代码.
- 采用了通用线性建模来比较编码率与对照诊所,分析差异差异.
主要成果:
- 255个问卷被填写,其中5个 (2%) 被返回. 分发了110本预防跌倒的小册子.
- 与对照诊所相比,在ICD-10编码中观察到的绝对差异差异为0.7%.
- 在没有工作流程中断的情况下,与查相关的ICD-10代码增加了4.7%的统计学意义 (P < .0001).
结论:
- 在繁忙的学术实践中以患者为中心的查可以有效地增加与跌倒相关的ICD-10编码.
- 该综合计划得到了临床医生的好评,并证明了改善跌倒风险识别的潜力.
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