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导航瘤治疗中的转变:从急诊室到门诊诊所
Megan Roy1, Katie Fanslau1, Margaret Rummel1
1Oncology Nurse Navigators, Abramson Cancer Center, Penn Medicine, Philadelphia, PA.
Seminars in oncology nursing
|February 29, 2024
概括
瘤护士导航员 (ONN) 改善了急诊室 (ED) 到诊所的过渡. 一个标准化的转诊过程促进了及时的癌症诊断和治疗启动,提高了患者获得瘤治疗的机会.
科学领域:
- 提高瘤护理护理的质量
- 医疗保健系统和过程
- 癌症护理中的患者导航
背景情况:
- 从急诊室 (ED) 过渡到门诊瘤诊所,在及时获得护理方面存在挑战.
- 多学科沟通和标准化流程对于有效的癌症护理提供至关重要.
- 瘤护士导航员 (ONNs) 在消除瘤护理障碍方面发挥着至关重要的作用.
研究的目的:
- 通过标准化的转诊流程,简化患者从ED到门诊瘤诊所的过渡.
- 通过电子医疗记录来简化和自动化转诊过程.
- 改善多学科沟通,确保及时跟进,并解决瘤护理的障碍.
主要方法:
- 紧急部门 (ED) 提供者开始向瘤护士导航员 (ONN) 咨询.
- ONN在48小时内与转诊患者联系,并维护转诊数据库.
- 收集的数据包括患者人口统计数据,转诊原因,保险和结果.
主要成果:
- 在2022年4月至2023年9月期间,有204名患者从ED转移到ONN.
- 标准化转诊程序成功促进了98例癌症诊断.
- 平均时间为:第一次预约7天,诊断15天,开始治疗32天.
结论:
- 该项目成功地促进了及时获得瘤护理的机会,确保了连续性并解决了患者障碍.
- 这一倡议强调了ONN在改善瘤学中获得,公平和护理过渡方面的关键作用.
- 已建立的转介工作流程证明了ONN作为多学科团队的关键成员的积极影响.
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