短暂停留单位由儿科医院医药先进实践提供者领导的短暂停留单位
Brittany K Potts1,2, Jonathan H Pelletier2,3, Leah Rawdon1
1Division of Hospital Medicine, Akron Children's Hospital, Akron, Ohio, USA.
Journal of hospital medicine
|December 28, 2023
概括
一个先进的实践提供者经营的短暂停留单位的试点减少了儿科停留时间和喘和脱水等常见疾病的成本. 这种创新型号提高了效率,但没有影响七天急诊室复诊率.
科学领域:
- 儿科医院医药 儿科医院医药
- 医疗保健操作 医疗保健操作
- 提高质量 提高质量
背景情况:
- 由于2022年将出现严重的儿科病床短缺,需要为及时的患者护理提供创新解决方案.
- 一个先进实践提供者 (APP) 经营的短期住院单位 (SSU) 的试点项目被提议用于选择儿科医院医学 (PHM) 患者.
研究的目的:
- 为了比较在三级儿科医院实施PHM APP领导的SSU试点之前和之后的停留时间 (LOS) 和相关成本.
主要方法:
- 一个单一中心前试点观察队列研究与历史控制进行了.
- 包括患有喘,支气管炎,和脱水的患者的观察遭遇.
- 实施了一个独立实践模型SSU,由PHM服务上的APP组成,并与SSU前的遭遇进行了比较.
主要成果:
- 中位单位LOS从21小时降至18小时 (p < .001),标准化单位成本从3593美元降至2958美元 (p < .001).
- 在匹配后,APP领导的SSU平均减少了3.88小时的LOS和593美元的成本.
- 在SSU和SSU前队列之间的7天急诊室 (ED) 再访率中没有发现显著差异.
结论:
- 由APP运营的SSU试点项目成功地减少了常见疾病的儿科患者的LOS和成本.
- 该模型展示了一种有效的策略,用于管理儿科医院医学中的患者流动和资源利用.
- 由APP领导的SSU提供了一种安全有效的替代方案,在不增加再访的情况下保持护理质量.
相关概念视频
01:30Specialized Care Centers and Settings-II
727
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
727
00:59Hospitals-II
783
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
783
01:21Interdisciplinary Care: The Health Care Team-I
1.6K
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...
1.6K
01:30Specialized Care Centers and Settings-I
944
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
944
01:17Healthcare Agencies II
699
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
699
01:25Pulmonary Function Tests
334
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
334