利用基于医院的多学科方法来降低再接收率
Barry Hahn1, Trever Ball2, Wassim Diab3
1Department of Emergency Medicine, Staten Island University Hospital, Northwell Health, Staten Island, NY, USA.
SAGE open medicine
|January 22, 2024
概括
通过协调过渡期护理管理,一个多学科的倡议显著减少了45.2%的重返医院. 这种方法改善了患者的护理,并在30天内降低了再入院率.
科学领域:
- 医疗保健管理的管理
- 临床医学 临床医学
- 患者护理 患者护理
背景情况:
- 再入院是医疗保健的一个重大挑战,影响质量和成本.
- 医院再接收减少计划鼓励降低再接收率.
- 计划外再接收表明在护理,出院或住院后管理方面存在潜在问题.
研究的目的:
- 评估一项多学科倡议对减少30天再入院的影响.
- 评估在医院环境中协调过渡期护理管理的有效性.
主要方法:
- 追溯病例控制研究分析了从2018年1月到2019年11月的电子健康记录.
- 在实施过渡期护理多学科沟通工作流之前和之后,比较了30天的再接收率.
- 根据患者人口统计和再接收风险因素调整的再接收率.
主要成果:
- 总共分析了772名患者 (323名控制组,449名干预组).
- 多学科方法导致调整后再接收发病率减少45.2%.
- 再入院率从16.4%降至9.0%,相当于每100名患者的再入院人数减少了大约7人.
结论:
- 多学科的沟通策略,特别是由紧急医疗领导的策略,显著减少了医院再入院.
- 实施结构化沟通工作流可以提高急救和医院医疗团队之间的高风险患者的共同管理.
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