基于结构化临床知识和过程路径的COVID-19临床管理的有效性
Satoko Tsuru1, Tetsuro Tamamoto2, Akihiro Nakao3
1The University of Tokyo, Japan.
Studies in health technology and informatics
|January 25, 2024
概括
实施系统的临床管理系统,包括COVID-19临床管理系统 (COVID-19-CMS),可以减少护理人员的流动量并改善医疗保健工作风格.
科学领域:
- 医疗保健管理的管理
- 护理 护理 护理
- 传染病控制和控制传染病
背景情况:
- 护士轮流是医疗保健系统的一个重大挑战.
- COVID-19 流行病加剧了医疗保健提供和劳动力稳定的现有问题.
- 对临床管理的系统方法对于保持医疗保健质量和员工保留至关重要.
研究的目的:
- 评估系统的临床管理方法对护理人员流动的有效性.
- 评估团队指南针与患者条件适应路径系统 (TC-PCAPS) 和COVID-19临床管理系统 (COVID-19-CMS) 对护理人员保留的影响.
- 探索这些系统在应对未来的流行病准备和日本医疗保健劳动力改革方面的潜力.
主要方法:
- 在2018年至2022年期间,对三个医院 (N,T和B) 的护理人员流动率进行了比较分析.
- 医院N和T连续实施TC-PCAPS和COVID-19-CMS,而B医院后来开始引入这些系统.
- 数据收集的重点是比较医院流动率与县级平均值.
主要成果:
- 实施TC-PCAPS和COVID-19-CMS的N和T医院显示,与各自的县相比,护士周转率较低.
- 在已建立有系统的管理系统的医院中,观察到护士轮流逐渐减少的趋势.
- 最近引入这些系统的B医院经历了护士轮流的逐步增加.
结论:
- 综合TC-PCAPS和COVID-19-CMS的系统方法显示了减少护理人员流动的潜力.
- 这种系统的方法也可能有助于减少护士的加班时间,正如TC-PCAPS之前报道的那样.
- 研究结果表明,这种系统的管理策略对于应对未来的流行病和改革日本医疗保健工作方式有价值.
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