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桥梁医院和养老院:为更顺的过渡和减少住院治疗的合作
Chong Yau Ong1, Jieru Lai1, Deanna Wai Ching Lee2
1Department of Transitional Care Community Medicine, Sengkang General Hospital, Singapore.
Journal of the American Medical Directors Association
|February 4, 2024
概括
养老院面临着管理急性病患居民的挑战,导致紧急访问的增加. 通过合作,培训和远程咨询,EAGLEcareACT计划改善了护理,减少了医院转移.
科学领域:
- 老年医学 老年医学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 由于居民的急症,救护车从养老院运往急诊室的次数增加.
- 训练有素的护理人员的短缺以及在养老院的24/7现场医生的可用性.
- 养老院和急性区域医院之间普遍存在的护理差异.
研究的目的:
- 为了解决养老院和区域医院之间的护理差异.
- 为了减少不必要的急救部门从养老院转移.
- 为了提高护理院居民的急性护理服务.
主要方法:
- 启动了EAGLEcareACT (提前护理规划,老年医学和终身护理急性护理团队的改进) 的合作.
- 系统地与养老院合作,确定需求和共同目标.
- 提供患者监测,员工预先计划护理的培训和远程咨询.
主要成果:
- 在医院和当地养老院之间建立了合作框架.
- 实施护理人员和助理的结构化培训计划.
- 远程咨询成功地减少了急救部门运输的需求.
结论:
- 在EAGLEcareACT倡议有效地弥合了养老院和医院之间的护理差距.
- 协作模式和远程医疗可以改善养老院居民的急性护理.
- 积极的干预可以减轻急救部门因养老院转移而承受的负担.
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