降低成本和改善患者的康复通过护士驱动的中心化脊柱骨架计划在术后单位:质量改善倡议
Amber Odom1, Leonie James1, Sheena Butts1
1Surgical and Procedural Services, Lakeland Regional Health, Lakeland, FL.
International journal of nursing studies advances
|July 18, 2024
概括
一个新的护理主导的脊柱骨架计划显著降低了成本,并改善了患者动员时间. 这项质量改进倡议简化了脊柱手术患者的护理,证明了提高效率和节省成本.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 整形器械和假肢
背景情况:
- 外部供应商对现成的脊柱骨架造成了高昂的成本,并阻碍了脊柱手术患者的质量护理.
- 护理领导团队启动了一项质量改进项目,以解决这些问题.
- 该项目旨在降低成本,并提高对需要支架的脊柱手术患者的护理.
研究的目的:
- 开发和评估一个以护理为主导的流程,提供现成的脊柱骨架.
- 消除与外部供应商相关的高成本.
- 为了提高脊柱手术住院患者的护理质量.
主要方法:
- 采用了回顾性中断时间序列设计.
- 实施了一项由护理人员主导的集中计划,用床边护士替代外部矯正师进行安装.
- 供应商计划中的134名患者的数据与集中计划中的155名患者的数据进行了比较.
主要成果:
- 集中式计划将患者调动的时间缩短了3.85小时 (p=0.004).
- 观察到显著的成本降低:每次胸椎-腰椎-神经骨架有1,483美元,每次腰椎-神经骨架有1,327美元.
- 在整个研究期间,总成本节省达到175,319美元.
结论:
- 一个由护士领导的集中脊柱骨架计划对患者护理质量产生了积极的影响.
- 该计划有效地降低了提供脊柱骨架的成本.
- 实施导致脊柱手术患者动员时间和停留时间缩短.
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