为住院急诊室患者提供血管接入教育和培训计划的成本效益
Amit Bahl1,2, Yuying Xing3, S Matthew Gibson4
1Department of Emergency Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, Michigan, United States of America.
PloS one
|October 1, 2024
概括
投资于专门的血管接入培训,如Operation STICK (OSTICK),可显著降低成本,并改善急诊室患者的治疗结果. 该计划展示了一种具有成本效益的方法,以提供高质量的血管接入护理.
科学领域:
- 紧急医疗 紧急医疗
- 血管接入 血管接入
- 卫生经济学 卫生经济学
背景情况:
- 优质的血管接入护理至关重要,需要组织对教育和培训进行投资.
- 评估专门的血管接入计划的成本效益对于资源分配至关重要.
研究的目的:
- 在紧急部门 (ED) 展示Operation STICK (OSTICK) 计划的成本效益.
- 评估标准化血管接入培训的财务和临床影响.
主要方法:
- 观察性队列研究,比较ED中OSTICK (标准化培训) 和非OSTICK (基础培训) 外周静脉导管 (PIVC) 插入.
- 分析包括成本因素 (程序,等待时间,并发症,培训) 和无并发症的PIVC功能.
- 多重线性回归估计了增量成本 (ΔC),增量效应 (ΔE) 和增量净收益 (INB).
主要成果:
- 据估计,OSTICK计划每位患者节省了每位患者83.175美元的成本.
- 奥斯蒂克增加了无并发症的导管停留时间,相对于住院时间的长度,增加了0.037 (3.7%).
- 增量成本效益比 (ICER) 为-221 964美元,表明节省了成本并改善了结果.
结论:
- 对像OSTICK这样的血管接入教育和培训计划的战略投资产生了显著的财务回报.
- 这些计划同时提高了血管接入结果,改善了患者的护理.
- 组织应优先实施全面的血管接入培训计划.
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