实施标准化查流程以增加初级保健中的息治疗转诊率:基于证据的质量方法
1Amy M. Smith, DNP, APRN, AGNP-C, CNE, is Medical University of South Carolina College of Nursing, Charleston.
概括
在初级保健中实施标准化息护理转诊协议显著增加了转诊率. 这项质量改善计划还减少了转诊患者的急诊室访问和住院.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 提高质量 提高质量
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 在初级保健中,息治疗的转诊往往依赖于主观的提供者判断,导致使用不足和获得差异.
- 现有的宣传计划还没有充分解决初级保健息护理转诊中的系统性问题.
研究的目的:
- 开发和实施基于证据的标准化息治疗转诊协议.
- 提高初级保健机构中符合条件的患者的息护理转诊率.
主要方法:
- 采用了实施前和实施后的研究设计.
- 该项目的指导是RE-AIM (覆盖范围,有效性,采用,实施和维护) 框架.
- 在10个月的时间内,制定并实施了一项标准化的转诊协议.
主要成果:
- 息治疗转诊率从实施后的2%增加到11%,增长了9%.
- 接受息治疗转诊的患者的急诊次数下降了69%.
- 在被转移到息治疗的患者中,住院病例减少了73%.
结论:
- 一个标准化的转诊协议有效地增加了初级保健中的息护理准入.
- 该方案表明,通过减少急性护理利用率,有可能改善患者的治疗结果.
- 建议将该协议扩展到其他初级保健诊所,以提高患者护理质量.
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