医院医生通过与熟练护理机构的虚拟协作完成改善护理过渡 - - HiToC SNF研究
Ifedayo O Kuye1, Sonia Dalal2, Shaker Eid2
1Division of Hospital Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. ikuye1@jhmi.edu.
Journal of general internal medicine
|October 2, 2023
概括
医院医师的虚拟圆形化计划改善了与熟练护理机构 (SNF) 的沟通,识别出院总结中的错误,并增强了患者护理过渡.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者的安全性 患者安全性
- 专业间的沟通 专业间的沟通
背景情况:
- 退院到熟练护理机构 (SNFs) 的医疗保险患者的高再接收率构成了重大挑战.
- 医院和SNF之间的沟通不良是这些再入院的主要驱动因素.
研究的目的:
- 评估医院医生领导的虚拟圆形化计划,旨在补充SNF的书面出院摘要.
- 评估该计划对识别和纠正患者出院信息中的错误的影响.
主要方法:
- 实施了一项每周的虚拟圆周计划,涉及医院医生和SNF提供者 (医疗主任,护理主任).
- 讨论的重点是患者的临床状况,药物,治疗计划和最近从医院出院到SNF的患者的后续护理.
- 这项干预在两个学术医院和六个SNF中进行了六个月的时间.
主要成果:
- 该计划为544名患者提供了出院后的虚拟接触.
- 在这些虚拟讨论之后,医院医生在124份出院摘要中发现了临床上显著的错误.
- 调查表明,参与者认为干预改善了护理过渡.
结论:
- 虚拟圆形化创新有效地发现了医院出院摘要中的错误.
- 参与的SNF和医院医疗服务提供者认为该计划有利于改善出院患者的护理过渡.
相关概念视频
Acute Coronary Syndrome IV: Interprofessional Care
11
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
11
Coronary Artery Disease V: Interprofessional Care
9
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
9
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
Interdisciplinary Care: The Health Care Team-I
1.7K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.7K


