在生命的最后几天数字记录安慰观察
Eleanor Stewart1, Suzanne Ford-Dunn2, Steve Bass1
1Department of Palliative Medicine, University Hospitals Sussex NHS Foundation Trust, Brighton, UK.
The American journal of hospice & palliative care
|February 20, 2024
概括
在一家大型医院实施电子舒适观察 (e-comfort obs) 可信度改善了终身护理. 该系统通过提供个性化护理计划和专业息护理审查来支持患者,家庭和工作人员.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 高比例的死亡发生在医院内,这表明对生命终点护理的需求尚未得到满足.
- 个性化护理计划和专业的息护理审查可以解决这些未满足的需求.
- 现有的护理模式需要改进,以提高患者在死亡过程中的舒适性和支持.
研究的目的:
- 在大型急性医院中实施和评估电子舒适观察 (e-comfort obs) 系统.
- 评估e-comfort系统对终身护理质量的影响.
- 确定对患者,家庭,医疗保健工作人员和医疗保健系统的好处.
主要方法:
- 开发电子舒适度观察图和个性化护理计划.
- 专家息护理团队 (SPCT) 的集中仪表板的实施.
- 使用滚动前性审计来监控系统的使用和结果.
主要成果:
- 超过3000名患者接受了通过e-comfort obs.支持的护理.
- 在过去3个月内,超过72%的信任死亡和在前12个月内2/3的死亡中使用了电子安慰器.
- 7%的记录观察表明中度至严重的症状,使得有针对性的干预措施.
结论:
- 电子舒适性观察可以成功地集成到大型急性信托中.
- 该系统显示了提高现有和未来患者生命终端护理质量的潜力.
- 建议进一步开发,包括与电子处方集成,以优化系统.
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892
01:24Data Reporting and Recording
4.7K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
4.7K
01:06Legal Guidelines for Documentation
1.3K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.3K
01:26Guidelines for Nursing Documentation II
1.0K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.0K
01:30Guidelines for Nursing Documentation I
1.1K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.1K
01:26Methods of Documentation IV: Focus Charting
1.0K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.0K