影响重症监护患者出院过程的上下文因素:一个多中心前性观察性研究
Frances Fengzhi Lin1,2,3, Jacqueline Peet3, Lauren Murray4
1Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia.
Journal of clinical nursing
|October 25, 2024
概括
在重症监护室 (ICU) 中,出院延误和下班出院是很常见的. 背景因素显著影响ICU出院时间,需要针对性干预来提高患者护理和效率.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
- 优化患者流量优化
背景情况:
- 从重症监护室 (ICU) 出院的过程很复杂,并可能受到各种因素的影响.
- 延误和超时出院是影响患者护理质量和医院效率的公认问题.
研究的目的:
- 为了比较影响三个不同的重症监护病房 (ICU) 出院实践的上下文因素.
- 识别排放过程时间表的变化及其潜在原因.
主要方法:
- 采用了前性观察性研究设计.
- 在2023年5月至9月期间,使用出院流程报告表格 (DPRF) 收集了患者出院流程的数据.
- 用描述性统计和单向差异分析 (ANOVA) 来分析人口统计,临床和时间间隔数据.
主要成果:
- 在69个观察到的患者出院过程中,59%的患者经历了延迟,20%的患者在工作时间后出院.
- 在这三个医院之间观察到平均出院时间间隔的显著差异.
- 医院C显示最长的延误,特别是在病房床上准备 (31.9小时) 和护士准备后释放 (26.7小时).
结论:
- 退院延误和超时退院是ICU中普遍存在的问题.
- 不同的医院设置之间存在出院过程时间的显著差异.
- 特定背景的干预措施对于优化ICU出院流程,减少延迟,提高患者护理质量和安全至关重要.
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