实施出院后的随访电话程序降低了综合卫生系统的再接收率
概括
实施护士带领的出院后续电话,大大减少了医院再入院. 该计划通过解决出院后的担忧来改善患者的治疗结果,降低接触患者的再入院风险.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者研究成果研究结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 未解决的患者在出院后的担忧与增加的护理并发症和医院再入院有关.
- 有效的出院规划和后续行动对于减少可预防的再录取至关重要.
- 医院出院后积极接触患者可以减轻风险.
研究的目的:
- 评估一项由护士领导的大规模出院后随访电话计划对医院再入院率的影响.
- 在一个主要的学术卫生系统中,评估及时出院后患者接触的有效性.
- 确定主动外展是否影响7天和30天再接收率.
主要方法:
- 一个观察性质量改善项目从2020年4月到2022年1月在22家医院进行.
- 实施一个编写的,由护士领导的电话程序,在住院患者出院后72小时内与患者联系.
- 追踪和比较计划实施前后的再接收率,分析接触患者与未接触患者.
主要成果:
- 在21个月的研究期间,超过137,000个电话被拨打,在7天内57.92%的患者接触率.
- 与非接触患者 (4.73%) 相比,接触患者的7天再入院率较低 (2.91%).
- 接触患者的30天再入院率也降低了 (11.00%),而非接触患者 (12.17%).
结论:
- 一个系统的,由护士领导的退院后续电话计划有效地降低了医院再入院的风险.
- 退院后积极参与患者是改善患者结果和减少医疗保健系统负担的有价值策略.
- 这些发现支持了这种干预在综合卫生系统中的可扩展性和有效性.
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