副专业诊所安排急诊室随访:专注于提供者的满意度
Leigha Eldridge1,2, Amber S Kujath1,2
1Leigha Eldridge, DNP, CPNP, AC/PC, Pediatric Orthopedic Nurse Practitioner for UT Southwestern Medical Center, Dallas, TX; Doctor of Nursing Practice in Transformational Leadership: Systems, College of Nursing, Rush University Medical Center, Chicago, IL.
Orthopedic nursing
|November 21, 2023
概括
实施标准化电子健康记录文档显著减少了不正确的病人安排从19%到3%的急诊室访问后,改善了护理的连续性和提供者的满意度.
科学领域:
- 医疗保健管理的管理
- 患者护理协调与协调
- 临床信息学 临床信息学
背景情况:
- 不准确的患者安排会对护理连续性和患者满意度产生负面影响.
- 一个特定的诊所在需要骨科咨询的急诊室 (ER) 访问后安排后续预约时经历了19%的错误率.
研究的目的:
- 为了减少错误安排的患者的发生率,从急诊诊所到先进实践提供者 (APP) 进行骨科咨询.
- 评估日程安排改进过程对APP工作满意度的影响.
主要方法:
- 在没有对照组的情况下,采用了非实验性设计.
- 标准化电子健康记录 (EHR) 文档被用于患者安排.
- 一个测试前和测试后的调查设计评估了干预前和干预后的APP工作满意度.
主要成果:
- 实施后,正确的患者安排率增加到97%.
- 与诊所安排相关的提供者满意度得分从0到5分级别上从2.375提高到3.125.
- 该干预措施对APP的工作满意度产生了积极影响.
结论:
- 电子健康记录中的标准化沟通文档有效地确保了适当的患者随访.
- 实施标准化流程可以改善护理的连续性和患者的治疗结果.
- 优化安排流程对提供者工作满意度和诊所效率产生积极影响.
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