紧急护理中的病例管理:CARED计划的影响评估
Colin Eng Choon Ong1, Joanne Yan Ting Yap2, Kamala Velu1
1Department of Emergency Medicine, Ng Teng Fong General Hospital, 1 Jurong East Street 21, Singapore 609606, Singapore.
概括
危险患者在急诊室的病例管理 (CARED) 计划显著减少了危险患者的重诊和急诊室访问. 这种过渡性护理策略还降低了医疗保健成本和医院病床占用率.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 紧急医疗 紧急医疗
背景情况:
- 由于人口老龄化,医院面临越来越大的压力,需要减少意外使用.
- 紧急病房危险病人的病例管理 (CARED) 计划针对脆弱的老年人和ED重新参加者.
- CARED是一种创新的过渡性护理策略,旨在减少急性医院使用.
研究的目的:
- 评估CARED计划在减少住院再诊和ED再诊的有效性.
- 评估CARED对医疗保健成本和医院病床占用率的影响.
主要方法:
- 从2022年4月到2023年7月进行了一项回顾性,倾向匹配的研究.
- 该计划涉及老年医疗评估,多学科团队护理和ED病例经理的出院规划.
- 主要结局包括30天和60天的再入院和ED再出院.
主要成果:
- 倾向性得分匹配创造了可比的干预和对照组 (每组1615名患者).
- 该计划显著减少了30日和60天的住院和ED重新出席.
- 观察到在住院住院和急救护理人员的住院和急救护理人员,以及减少床位占用日的显著成本避免.
结论:
- 该CARED计划有效地减少了ED出院后风险患者的计划外住院使用.
- CARED显示了改善患者治疗结果和减少医疗保健开支的潜力.
- 该计划的成功凸显了过渡期护理在管理医院利用率方面的价值.
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