弥合住院和门诊护理之间的差距
Nikhil Seth1, George Martinez1, Andrew Chapman2
1Central Texas Veterans Affairs Hospital, Temple.
概括
在奥林·E·蒂格退伍军人新计划.
科学领域:
- 内部医学 内部医学
- 医疗保健管理的管理
- 患者护理 患者护理
背景情况:
- 奥林·E·蒂格退伍军人中心 (OETVC) 是一家拥有189张床位的教学医院.
- 复杂的住院病例引发了人们对出院后的患者随访和药物服药程度的担忧.
研究的目的:
- 实施一项桥接住院内和门诊护理的计划.
- 改善患者的治疗结果,减少重入院.
主要方法:
- 内部医学医生对教学团队的患者进行出院后的随访.
- 呼叫包括药物审查,症状评估和解决患者的问题.
- 住院人员协助处理错过的订单和治疗调整.
主要成果:
- 在转换护理组中,30天再入院率从10%降至6%.
- 住户对疾病脚本和沟通技能的理解得到了改善.
- 患者获得了医生访问,以解决出院后的担忧.
结论:
- 转换护理计划对患者的治疗结果有好处.
- 该计划增强了居民在沟通和临床推理方面的培训.
- 该计划的持续调整旨在进一步改善护理过渡.
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