使用技术支持基于测量的护理:测量辅助护理计划的设计和实施
Dana Steidtmann1, Katie E Raffel1, Joel Green1
1Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora (Steidtmann, Green, MacPhee, Nagle-Yang, Schwenk, Cooke, Santisteban, Dempsey); Brain and Behavior Innovation Center, University of Colorado Anschutz Medical Campus, Aurora (Steidtmann, Cooke, Santisteban, Dempsey); Division of Hospital Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora (Raffel); Institute for Healthcare Quality, Safety and Efficiency, University of Colorado School of Medicine, Aurora (Raffel).
测量辅助护理 (MAC) 计划显著提高了精神病治疗中患者报告的结果测量完成率. 技术支持的工作流改善了数据的捕获和利用,特别是在远程医疗环境中.
科学领域:
- 精神病学是一个精神病学.
- 医疗信息学 医疗信息学
- 改善临床质量 改善临床质量
背景情况:
- 基于测量的护理 (MBC) 对于有效的精神病治疗至关重要.
- 将MBC整合到常规的临床工作流程中,在学术环境中提出了挑战.
研究的目的:
- 实施和评估测量辅助护理 (MAC) 计划,以增加门诊学术精神病学服务中的MBC.
- 评估MAC对患者报告结果测量 (PROM) 完成率的影响.
主要方法:
- 在MAC程序中集成了标准化的PROM (PHQ-9,GAD-7,等等). 进入电子登记过程中.
- 患者的反应被自动引导到临床医生的电子健康记录中.
- 该计划分为两个阶段推出,临床医生调查在实施后3-6个月进行.
主要成果:
- 毕业率从5%上升到66% (第一阶段) 和60% (第二阶段).
- 远程医疗 (70%) 的PROM完成率高于面对面的 (40%) 访问.
- 临床医生采用率很高 (78%使用MAC数据指导护理),90%的人认为这很有用.
结论:
- 该MAC计划成功提高了PROM完成率,特别是在远程医疗环境中.
- 技术支持的工作流可以在高远程医疗利用系统中增强患者报告结果的捕获和使用.
- 临床医生报告了MAC数据的频繁使用和与患者讨论,表明其临床实用性.
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