改善心力衰竭住院患者的提前护理计划
Tobin Mathew1, Akash Patel1, Kyle DiGrande1
1Division of Cardiology, Department of Medicine, University of California, Irvine Medical Center, Orange, California, USA.
Palliative medicine reports
|December 29, 2023
概括
提前护理规划 (ACP) 改善了心力衰竭 (HF) 患者的终身护理. 使用电子医疗记录 (EMR) 提醒器在住院高风患者中增加了37.3%的ACP完成率.
科学领域:
- 心脏病学 心脏病学
- 改善医疗保健质量 改善医疗保健质量
- 医疗信息学 医疗信息学
背景情况:
- 预先护理计划 (ACP) 对于生命末期的沟通和心力衰竭 (HF) 患者的生活质量至关重要.
- 目前的ACP采用率仍然低于最佳水平,只有15.3%的住院HF患者在UCI医疗中心出院前完成了文件.
- 低的ACP完成率凸显了医疗保健系统中需要改进的战略.
研究的目的:
- 评估电子医疗记录 (EMR) 提醒在增加住院HF患者中ACP完成率方面的有效性.
- 确定基于EMR的个性化提示是否可以提高医疗保健提供者的参与ACP文档.
- 量化EMR提醒干预对ACP完成率的影响.
主要方法:
- 在UCI医疗中心实施了一项质量改进项目.
- 针对缺乏ACP文件的住院HF患者,向医疗保健提供者发送了个性化EMR直接消息提醒.
- 干预期间持续了三个月,与前六个月相比,非洲和非洲的完成率较高.
主要成果:
- 在干预期间,ACP平均完成率从15.3%增加到21.0%.
- 这代表了5.7%的绝对增长和37.3%的相对增长在ACP完成.
- 发现EMR提醒是促进该患者组ACP文档的有效方法.
结论:
- 基于EMR的提醒是改善住院心力衰竭患者的ACP完成率的成功策略.
- 这项干预表明,终身护理的关键质量指标显著,可衡量的改善.
- 有针对性的EMR提示可以有效地解决对ACP文件的障碍,并提高患者护理质量.
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