通过合作护理减少再接收
1Melissa Cawley-Chambers, MHA, BSN, RN, CV-BC, is a Clinical Nurse Navigator, born and raised in rural Southside Virginia having served as a nurse for 15 years in a hospital setting and worked in acute and critical care for most of her career until transitioning to nurse navigation 3 years ago. Nurse Navigation gives her the fulfillment of giving back to the community and helping patients succeed in their chronic disease management.
一家农村医院通过实施跨学科团队方法,减少了心力衰竭,COPD和肺炎的30天复诊. 这一举措改善了患者护理过渡,并解决了健康的社会决定因素.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者再接收 减少 减少
- 农村卫生倡议 农村卫生倡议
背景情况:
- 在2022年,慢性阻塞性肺病 (COPD) 的30天再入院率增加.
- 弗吉尼亚州一个农村116个病床的急性护理机构发现了改善工作的必要性.
研究的目的:
- 为了降低30天再接收率.
- 通过跨学科团队 (IDT) 方法实施改进工作.
主要方法:
- 在弗吉尼亚州南侧的一家116个病床的医疗机构进行了一项质量改善计划.
- 该倡议的重点是65岁或以上的患者,他们被诊断为急性心肌梗塞,心力衰竭,慢性肺炎和肺炎.
- 采用了协作IDT方法来降低惩罚性再录取率.
主要成果:
- 2023年的再接收率达到或低于四个诊断组的疾病特定目标.
- 与2022年数据相比,协作IDT方法有效降低了30天再接收率.
结论:
- 在最初的入院期间,解决社区障碍和健康的社会决定因素至关重要.
- IDT成员之间的协作努力确保了护理的安全过渡.
- 社区护理人员计划可以为农村社区提供宝贵的额外资源.
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