确定最佳的急性护理比较器,以告知在家先进护理试点计划的评估
Martin Elliott1,2, Gina Rinetti-Vargas2,3, Patricia Kipnis2,3
1Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.
The Permanente journal
|October 27, 2023
概括
一项新的质量改进战略成功地为家庭医院 (H@H) 计划识别了可比的患者. 这种工作流允许更好的结果评估和规划,以扩大在家急性护理服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
- 急性护理的交付模式
背景情况:
- 家庭医院 (H@H) 计划越来越普遍,在患者住所提供急性护理.
- 现有的H@H文献在程序设计,评估和患者群体中缺乏统一性,阻碍了可概括的见解.
- 需要标准化的评估方法来评估H@H计划的有效性,并指导未来的发展.
研究的目的:
- 开发和实施凯泽永久医院在家高级护理 (KPACAH) 计划的质量改进评估战略.
- 建立一种可靠的方法来识别可比的住院患者群体,以评估结果.
- 为了利用电子健康记录数据,图表审查和患者调查进行比较分析.
主要方法:
- 设计了一个三步招募工作流程,用于识别对照患者.
- 电子医疗记录过工具每天生成潜在对照者的列表.
- 手动图表审查和患者电话采访证实了对对照者入学的资格和兴趣.
主要成果:
- 该工作流成功地在五个月内识别并招募了446名比较患者.
- 注册的比较者表现出与KPACAH患者相似的人口统计,住院原因,并发症负担和利用率.
- 这证明了为H@H结果评估创建可比的对照组的可行性.
结论:
- 开发的工作流显示了在传统医院环境中识别类似住院患者的前景.
- 这有助于加强在家医院计划的结果评估.
- 该战略有助于估计计划扩张的潜在入学量.
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