在学术卫生系统中,对初级保健的年龄友好型方法
Andrea Wismann1, Keith Kleszynski1, Dawn Jelinek2
1Reynolds Section of Geriatrics and Palliative Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Journal of the American Geriatrics Society
|March 15, 2024
概括
实施老年友好护理改善了老年人的几个关键健康措施,包括事先的护理计划和认知查. 然而,减少高风险药物联合处方仍然是一个挑战,需要进一步的有针对性的干预措施.
科学领域:
- 老年医学 老年医学
- 提高质量 提高科学 提高质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 适合老年人的护理是改善老年人的医疗保健的经过验证的模式.
- 该模型侧重于几个关键领域:患者优先级,药物,认知和移动性.
- 本研究详细介绍了在五个初级保健机构实施老年友好护理的初始结果.
研究的目的:
- 评估在初级保健诊所实施年龄友好型护理模式的初始结果.
- 评估实践便利化和EHR修改对关键质量改进措施的影响.
- 识别成功实施的障碍和促进者.
主要方法:
- 从2020年7月到2023年6月,采用了一种实践便利化方法来实施年龄友好型护理.
- 更新了电子健康记录 (EHR) 模板,以跟踪65岁及以上患者的六项质量改善措施.
- 将2023年1月至6月的数据与实施前的一年进行了比较,并与工作人员进行了定性访谈.
主要成果:
- 在大多数诊所中,在事先的护理计划和认知查方面观察到显著的改善.
- 在所有参与诊所中,跌倒风险查率超过85%.
- 与阿片类药物和镇静催眠药联合处方的改善率最低,为7%至39%.
结论:
- 一个使用实践便利化和EHR工具的质量改进计划成功增强了几个老年友好的护理指标.
- 需要进一步的干预措施来解决高风险药物管理问题,并改善患者健康目标的提取.
- 三家诊所获得了年龄友好型卫生系统的认可,表明该模型的成功采用.
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