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减少重建性头手术患者的住院时间:质量改善倡议
Nupur Bhatt1, Jackie Yang1, Lauren DeBaere1
1Department of Otolaryngology-Head and Neck Surgery, NYU Langone Health, New York City, New York, USA.
概括
一项新的手术前教育和出院计划协议显著减少了头癌重建手术患者的意外出院延迟,改善了停留时间 (LOS).
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 提高质量 提高质量
背景情况:
- 头癌重建性手术患者历史上经历了长时间的观察停留时间 (LOS).
- 意外的出院延误导致医疗保健成本增加,患者满意度降低.
研究的目的:
- 评估一项新的手术前教育和出院计划协议对意外出院延误的影响.
- 确定干预措施是否降低了头癌患者观察到的与预期的LOS比率.
主要方法:
- 实施了一项质量改善 (QI) 干预,包括术前教育访问,标准化评估和早期出院计划.
- 干预组 (2021年2月至12月) 与接受标准护理的匹配对照组 (2019-2020年) 相比较.
- 衡量的主要结果是观察到预期的LOS比率.
主要成果:
- 与对照组 (1.24 ± 0.74) 相比,干预组在观察到预期的LOS比率 (0.95 ± 0.52) 中显著降低.
- 差异的P值为0.012,表明了统计学意义.
结论:
- 包括手术前教育和出院计划在内的QI干预与接受头部和部重建手术的患者的LOS降低有关.
- 这种标准化协议提供了一种有益的方法来优化患者流动,并减少该患者群体的延迟.
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