败血症顺序设置使用与增加的护理价值相关.
Christopher R Dale1, Shih-Ting Chiu2, Shelley Schoepflin Sanders3
1Providence Swedish, Seattle, WA; University of Washington, Seattle, WA.
Chest
|June 21, 2024
概括
在医院实施败血症订单集可显著降低患者死亡率和医疗保健成本. 这种方法提高了护理的整体价值,通过降低开支和改善败血症患者的治疗结果,使医院和社会受益.
科学领域:
- 医疗保健管理的管理
- 临床信息学 临床信息学
- 卫生经济学 卫生经济学
背景情况:
- 败血症是一种普遍且昂贵的疾病,败血症订单集显示出改善患者护理的潜力.
- 有限的证据证实了败血症订单对医院护理价值和社会成本的影响.
研究的目的:
- 评估毒症订单是否与住院患者护理价值的提高有关.
- 护理价值是由医院死亡率降低,直接变量成本和社会支出来定义的.
主要方法:
- 以败血症代码出院的患者的回顾性队列研究.
- 倾向性得分匹配用于比较败血症顺序组用户和非用户.
- 分析检查了与医院死亡率,直接变量成本和医院收入的关联.
主要成果:
- 败血症订单组的接受者在医院死亡率下降了3.3%.
- 败血症订单组用户的直接变量成本中位数比败血症订单组用户低1,487美元 (P < .01).
- 中位数的付款人中立补偿额下降了465美元,这表明社会成本降低 (P < .01).
结论:
- 从医院和社会角度来看,败血症订单与改善护理价值有关.
- 这些发现支持更广泛地实施败血症订单集,以提高败血症护理效率和结果.
相关概念视频
Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.1K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.1K
Cleaning, Sterilization, and Disinfection
6.7K
Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
6.7K
Hand hygiene
3.2K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.2K


