减少澳大利亚外科再入院的多学科协议:美国外科医生学院国家外科质量改善计划
Helen Pham1,2,3, Kerry Hitos2,4, Rishan Pawaskar1
1Department of Hepatobiliary, Pancreatic/Upper Gastrointestinal Surgery, Westmead Hospital, Westmead, New South Wales, Australia.
ANZ journal of surgery
|October 21, 2024
概括
一个新的多学科协议显著减少了30%的非计划的整体外科复诊. 这一举措提高了患者护理质量和医疗保健效率.
科学领域:
- 手术 手术 手术 术 术
- 改善医疗保健质量 改善医疗保健质量
- 患者的治疗结果.
背景情况:
- 一般外科的非计划性再入院是患者护理质量的关键指标.
- 再接收增加医疗保健成本,影响系统效率.
研究的目的:
- 实施和评估一个多学科的协议,以减少在整体外科的计划外再接收率.
- 监测和分析有助于重新接收的因素.
主要方法:
- 在第三级转诊医院进行了长达18个月的前性队列研究.
- 协议包括一个外科复诊的护士-病人联络,一个手术的入门诊所,和早期的退院后的电话联系.
- 收集了有关人口统计,程序,住院时间和患者护士接触的数据;主要结果是30天再入院率.
主要成果:
- 874名患者接受了整体手术;5.6% (49名患者) 在30天内重新入院.
- 再接收率与历史数据 (7.9%) 相比,减少了30%.
- 再接纳后入境的中位数为4天.
结论:
- 多学科的协议是有效的显著减少计划外的整体外科再入院.
- 持续监测和审计对于有针对性的干预来进一步改善结果至关重要.
- 减少再入院可以降低成本,提高患者满意度,提高医疗保健系统的效率.
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