老年人护理转换的质量和安全指标:一个范围审查
Rangika L Fernando1, Maria C Inacio2, Janet K Sluggett3
1Registry of Senior Australians Research Centre, Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia; Registry of Senior Australians Research Centre, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia; Flinders University, College of Medicine and Public Health, Flinders Health and Medical Research Institute, Adelaide, South Australia, Australia.
在全球范围内,有89个项目监测老年人的护理过渡,重点是住院治疗,接入和沟通. 整体测量对于改善这种脆弱人群的质量和结果至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 提高质量 提高科学 提高质量
背景情况:
- 老年人的护理过渡是复杂的,容易导致不理想的结果.
- 在护理过渡期间对质量和安全的有效监测对于患者的福祉至关重要.
研究的目的:
- 确定全球用于监测,评估和改善老年人护理过渡的质量和安全指标.
主要方法:
- 进行了一项全面的覆盖范围文献审查.
- 在学术和灰色文献中搜索了自2012年以来报告的公开可用,经常使用的指标.
- 指标按护理领域,类型,质量维度,数据收集,报告和设置进行分类.
主要成果:
- 从12个国家的89个国际计划中确定了361个质量指标.
- 关键领域包括住院 (31%),消费者体验 (22.7%) 和访问/等待时间 (17.5%).
- 大多数指标衡量了结果 (62.9%),并专注于以患者为中心 (42.9%) 和及时性 (25.2%).
结论:
- 89个国际计划定期监测护理过渡,强调住院治疗,获取和沟通.
- 对护理过渡质量的整体测量对于老年人的安全和改善健康结果至关重要.
- 调查结果为改善质量倡议提供信息,以解决次优转型问题.
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