在急诊室出院后,远程患者监测计划的后实施结果
Eric W Maurer1, Terrence Adam1, Lynn E Eberly1
1University of Minnesota, Minneapolis, USA.
Studies in health technology and informatics
|January 25, 2024
概括
远程患者监控 (RPM) 减少了急诊室 (ED) 的重复访问. 虽然只有26.4%的患者参与,但RPM使用与90天的回归减少和一年内回归的危险降低了16.2%.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 患者的治疗结果.
背景情况:
- 紧急部门 (ED) 的访问往往导致再入院.
- 有效的出院后沟通和监测对于改善患者的治疗结果至关重要.
- 远程患者监控 (RPM) 提供了一种潜在的解决方案,可以在出院后持续照顾患者.
研究的目的:
- 评估远程患者监测 (RPM) 计划对急诊室 (ED) 重复访问的影响.
- 通过实施的RPM程序来评估患者参与率.
- 分析RPM激活和随后的医疗保健利用之间的关联.
主要方法:
- 对从10家医院急诊室出院的患者实施了远程患者监测 (RPM) 计划.
- 护理协调员管理RPM计划,解决患者的问题和紧急需求.
- 收集和分析了患者参与度和返回ED访问数据.
主要成果:
- 在提供RPM的107,477名患者中,28,425人 (26.4%) 参与了该计划.
- 被激活的RPM患者在90天后的重复ED访问次数较少 (19.8%与23.6%,p<.001).
- 使用RPM与在一年内返回ED的风险降低了16.2%.
结论:
- 远程患者监控 (RPM) 在减少急诊室 (ED) 重复访问方面显示出希望.
- 适度的激活率凸显了改善患者参与RPM计划的策略的需要.
- 需要进一步的研究来证实因果关系,并验证不同人群的发现.
相关概念视频
01:31Discharge Summary Forms
757
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
757
01:30Pulse rhythm
800
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
800
01:30Methods of Documentation VII: EMR
836
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
836
01:29Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
01:26Types of Reports III: Telephone and Verbal Reports
743
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
743
01:15Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573