解读延迟出院的持续性:深入的范围审查和二十年的见解
Alyaa Abdelhalim1, Manaf Zargoush2, Norm Archer1
1Information Systems, DeGroote School of Business, McMaster University, Hamilton, Ontario, Canada.
概括
本研究引入了持续流程改进 (CPI) 框架,以减少延迟出院 (DHD). 它综合了证据,为更好的患者结果和医疗保健体验提供了实际解决方案.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 系统审查 综合 系统审查
背景情况:
- 延迟出院 (DHD) 在全球卫生保健系统中是一个持续的挑战.
- 有效的沟通和管理对于及时的患者过渡至关重要.
- 现有的解决方案往往不足,需要创新的方法.
研究的目的:
- 提供一个全面的概述和综合过去24年的DDH系统审查.
- 为了确定DHD的主要原因和促成因素.
- 制定一个可行的和可持续的计划来减少DHD.
主要方法:
- 采用了范围审查方法 (PRISMA-ScR),合成了包括700多项研究的23项系统审查.
- 一个基于林德曼模型的持续流程改进 (CPI) 框架被调整并应用.
- 该CPI框架侧重于高级管理层的承诺,技术/行政支持以及社会/过渡性护理.
主要成果:
- 主要的DHD驱动因素包括出院目的地有限,护理协调效率低下以及对患者和护理人员经验的关注不足.
- 组织因素,患者认知障碍和社会经济影响显著影响出院时间.
- 该研究强调了需要多元组件,特定于环境的干预措施和更好地利用患者数据的必要性.
结论:
- 开发的CPI框架增强了现有的模型,并提供了一种务实的方法来消除延迟放电.
- 通过解决DHD,确定了改善医疗保健质量和患者结果的实际途径.
- 未来的研究将纳入从业人员的商,以完善观点并丰富拟议的框架.
相关概念视频
01:31Discharge Summary Forms
753
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
753
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
01:29Documentation in Long-Term and Home Healthcare Setting
885
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
885
01:15Methods of Documentation VI: Case Management Model
570
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
570
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
01:21Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K