对于烧伤中心咨询和转移的分层远程选途径的实施评估
Lauren L Agoubi1, Nina M Clark, Sarah Gibbs
1From the Department of Surgery (L.L.A., N.M.C., S.G.), University of Washington School of Medicine; Harborview Injury Prevention and Research Center (L.L.A., X.G.D., M.S.V., F.P.R.), Seattle, WA; Surgical Outcomes Research Center (N.M.C.), Division of Trauma, Burn, and Critical Care Surgery (B.T.S., S.A., T.N.P.), Department of Anesthesiology (M.S.V.), and Department of Pediatrics (F.P.R.), University of Washington, Seattle, WA.
The journal of trauma and acute care surgery
|December 26, 2023
概括
新的烧伤分类途径有效地将较低急性病例转移到护理团队,优化资源并减少提供者的呼叫. 这提高了专业烧伤护理的效率.
科学领域:
- 创伤和烧伤护理 创伤和烧伤护理
- 医疗保健管理的管理
- 临床选系统 临床选系统
背景情况:
- 早期转移到专门中心对于创伤和烧伤患者的结果至关重要.
- 过量选导致患者,提供者和医疗保健系统承担重大负担.
- 开发了新的燃烧分类路径,以提高资源配置效率.
研究的目的:
- 评估新型烧伤分类途径的实施和影响.
- 分析路径采用,资源优化和可靠性的趋势.
- 评估在烧伤护理分类中任务转移的有效性.
主要方法:
- 使用RE-AIM框架来评估跨范围,有效性,采用,实施和维护的实施.
- 选途径涉及护士评估烧伤图像和临床病史,以便直接向门诊转诊,提供者讨论,转移确认或快速转移.
- 从2017年1月到2019年12月分析了路径分配,烧伤提供者呼叫量以及与最终患者处置的一致性.
主要成果:
- 截至2018年1月,超过98%的烧伤推被分配给了一条途径,采用率很高.
- 护士主导的较低强度烧伤的分类减少了每月平均40次对烧伤提供者的呼叫.
- 患有较低急性途径 (绿色/蓝色) 的患者转移的可能性较低,超过85%的患者接受了门诊随访.
结论:
- 高度采用和可靠的选途径可以显著优化临床资源.
- 将较低急性烧伤的分类任务转移到护理团队,提高了效率.
- 这些途径的实施表明了改善燃烧中心资源配置的成功策略.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
574
01:15Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
01:21Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:21Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
01:30Health Information Technology and Healthcare Information System
843
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
843