非计划的紧急情况部门在出院后48小时内重新访问
María Florencia Grande Ratti1, Ignacio Martingano2, Paula Daniela Otero3
1Emergency Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Studies in health technology and informatics
|January 25, 2024
概括
早期重新访问急救部门 (ED) 的发生率为6.55%,其中17.87%的重新访问来自可预防的错误. 改善出院规划和诊断流程可以减少这些患者安全事件.
科学领域:
- 紧急医疗 紧急医疗
- 患者安全 患者安全
- 医疗信息学 医疗信息学
背景情况:
- 在出院后48小时内进行早期再访,在急诊室 (ED) 构成了重大挑战.
- 了解这些再访的原因对于改善患者护理和医院效率至关重要.
研究的目的:
- 分析早期重访急诊室的发生率和原因.
- 确定有助于这些再访的可预防错误.
- 探索技术支持的临床审计对质量改善的潜力.
主要方法:
- 对178,295次紧急诊所访问的回顾性分析.
- 识别和分类 11,686 个早期再访 (在 48 小时内).
- 归因于可预防的错误的重新访问的分类.
主要成果:
- 总体而言,早期复诊率为6.55%.
- 1,410次复诊 (9.99%) 需要住院治疗.
- 252次复诊 (17.87%的复诊) 是由于可预防的错误,主要是不充分的出院计划 (47.22%) 和不完整的诊断 (29.37%).
结论:
- 排放规划和诊断中的可预防错误是早期ED复查的重要贡献者.
- 使用电子医疗记录的技术支持的临床审计可以提供质量指标.
- 实时仪表板和透明度倡议可以改善临床管理并降低复诊率.
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