沟通患者出院准备:在住院医疗环境中的实施评估
Angela Keniston1, Marina S McCreight, Marisha Burden
1Author Affiliations: Division of Hospital Medicine, School of Medicine, University of Colorado, Aurora (Drs Keniston, Burden, and Battaglia); Department of Veterans Affairs, Eastern Colorado Health Care System, Aurora (Ms McCreight and Dr Battaglia); Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado, Aurora (Dr Moore); UCHealth, University of Colorado Hospital, Aurora (Dr Haugen); and Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor (Dr Rice).
实施四部分战略增加了"今天出院"工具的使用,但工具的局限性和人员使用不一致仍然阻碍了全面采用高效的患者出院.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 患者出院延误阻碍了医院患者流动,增加了医疗保健工作人员的负担.
- "今天下放"工具是为了提高下放效率而开发的,但采用率很低.
研究的目的:
- 为了应对"今天解除预算"工具的低采用情况.
- 评估一套由四部分组成的实施战略包,旨在缩小实施差距.
主要方法:
- 利用定量和定性方法来评估实施结果.
- 在规范化过程理论中的基础评估.
主要成果:
- 实施的策略成功地提高了"今天核准"工具的使用率.
- 医院医学医生和高级实践提供者都在积极和被动实施阶段增加了使用.
结论:
- 实施策略在促进工具使用方面是有效的.
- 持续存在的挑战包括工具功能限制和不一致的临床人员采用,阻碍完全整合.
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