[在巴塞罗那的一个地区实施一项管理频繁访问急诊室的战略]
Emmanuel Giménez1, María José Abadías2, Antonio San-José3
1Grup de Recerca en Serveis Sanitaris, Vall d'Hebron Institut de Recerca, Hospital Universitari Vall d'Hebron, Barcelona, España; Sistemas de Información y Apoyo a la Decisión, Hospital Universitari Vall d'Hebron, Barcelona, España.
Gaceta sanitaria
|November 20, 2024
概括
一个新的战略使用自动警报和专业护士来管理多种慢性疾病患者,减少急诊室的访问. 这种方法确保了适当的护理分配,有效地满足患者的社会和医疗需求.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 护理科学 护理科学
背景情况:
- 患有多重疾病,复杂慢性疾病和虚弱症的患者越来越多地访问急诊室 (ED),这带来了重大挑战.
- 目前的医疗保健系统正在努力为这些复杂的病例提供适当的患者分配和资源配置.
研究的目的:
- 开发和评估区域战略的可行性,以管理多病症和虚弱患者.
- 根据临床和社会需求,主动在不同护理水平 (初级,中级,专业) 分发患者警报.
主要方法:
- 实施用于患者识别的自动预选清单.
- 部署经验丰富的护士病例管理人员进行专业的患者评估.
- 建立一个多层次的领土转介共识,以协调护理途径.
主要成果:
- 通过检测368个警报,证明了可行性,达到85%的精确选择率.
- 成功调整患者因素 (年龄,虚弱,巴特尔指数,认知) 与商定的护理/转诊水平.
- 验证系统能够将患者需求与适当的社会和医疗保健服务相匹配的能力.
结论:
- 开发的区域战略,集成自动选择,护理专业知识和共识协议,使得适当的警报分配.
- 这种主动,简单和可扩展的方法有效地管理多重病例,使护理与患者的社会和医疗保健需求保持一致.
- 该战略支持先进的护理角色,并利用现有的跨层次服务资源来优化患者护理.
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