改善患者的治疗结果,使用措施提高出院率到家
Swapnil V Patel1, Anne Arcidiacono1, Christopher P Austin1
1Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.
Cureus
|June 6, 2024
概括
多学科干预措施通过改善医生和患者教育,电子病历使用和流动性,显著提高了家庭出院率,从74.9%提高到80.2%. 这种方法减少了住院时间和医疗费用.
科学领域:
- 医疗保健管理的管理
- 患者研究成果研究结果
- 提高质量 提高质量
背景情况:
- 后急性护理 (PAC) 中心对于患者的康复和康复至关重要.
- 上世纪90年代的医疗保险改革增加了PAC的使用率和停留时间.
- 国家倡议的重点是提高安全出院率到家,与更好的患者结果相关.
研究的目的:
- 评估多学科干预措施对一个机构的家庭放电率的影响.
- 为了减少医院再入院,住院时间,发病率,死亡率和医疗保健费用.
主要方法:
- 在泽西海岸大学医学中心 (JSUMC) 进行的一项回顾性单一机构队列研究.
- 从2015年1月至2019年12月 (预干预) 和2020年1月至2024年1月 (干预) 收集的数据.
- 干预措施包括医生/患者教育,EMR倡议,问责制和日常流动性计划.
主要成果:
- 在所有患者中,家庭出院率从74.9%增加到80.2% (p < 0.001).
- 由教师管理的患者的病率显著上升,从73.6%上升到84.4%.
- 医院医生和其他专家也显示了家庭出院率的改善.
结论:
- 多方面的干预措施显著提高了家庭放电率.
- 这种方法具有成本效益,降低了医疗保健成本和患者住院时间.
- 需要进一步研究再接收率和死亡率.
相关概念视频
Discharge Summary Forms
751
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:
751
Planning 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
Documentation in Long-Term and Home Healthcare Setting
880
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
880
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Types of Reports I: Hands-off Report
899
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
899


