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使用现有的急救部门资源进行两步息查的可行性

Razeen Karim¹, Mustapha Saheed², Jamison Kies¹

¹Department of Medicine (R.K., J.K., M.C., B.V., D.D.), Section of Palliative Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Journal of pain and symptom management

|February 18, 2024

概括

在没有额外的员工的情况下,实施两步方案使急诊室 (ED) 息护理咨询增加了110%. 这证明了在ED环境中早期整合息治疗的可行性.

科学领域:

紧急医疗紧急医疗
抚慰性护理是一种缓解性护理.
医疗保健管理的管理

背景情况:

紧急诊所 (ED) 是早期息治疗的理想场所.
人员的限制往往阻止了ED - 息护理伙伴关系.

研究的目的:

评估一个两步方案的可行性,以整合息治疗到ED.
确定该协议是否可以在没有增加人员的情况下增加息护理咨询.

主要方法:

实施了两步查协议.
一个临床决策支持工具识别了治疗/代码状态限制的患者.
护理协调员对患者进行了查,并为那些有未满足需求的人启动了息护理咨询.

主要成果:

来自ED的息护理咨询增加了110% (32至67).
57%的查为未满足息需求的患者呈阳性,接受了咨询.
该协议在不需要额外的员工的情况下是可行的.

结论:

一个两步的ED缓解方案是可行的.
该协议有效地增加了ED的息护理咨询.
早期息护理在ED的整合是可以通过现有资源实现的.

关键词:

临床决策支持临床决策支持应急部门的紧急情况部门.查息治疗护理的情况.快速的智商指数 (QI) 是快速的智商指数.

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