成功的住院后瘤学工作流程实施LACE+评分,以分层和减少安全网医院内的再入院
Cindy M Pabon1, Janine Wong2, Marcela Perez3
1General Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA cindymed6@gmail.com.
BMJ open quality
|February 13, 2025
概括
癌症患者的新住院后工作流程减少了75%的急诊室访问. 虽然30天再入院率略有下降,但需要进一步研究来确认减少癌症患者再入院的统计学意义.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 患者护理 患者护理
背景情况:
- 晚期癌症患者经常经历可以避免的住院治疗.
- 安全网机构在管理癌症患者护理过渡时面临挑战.
- 回收模式的回顾性分析为干预发展提供了信息.
研究的目的:
- 开发和实施住院后的工作流程,以减少瘤患者的再入院.
- 改善癌症患者退院后门诊护理的协调和可访问性.
- 评估加快后续程序对再接收率和急诊室利用率的影响.
主要方法:
- 瘤学患者在出院后被分类为风险分层,使用停留时间,入院急性,查尔森并发症指数和最近的急诊室访问.
- 根据风险分层,实施了快速门诊瘤学随访计划.
- 在临床访问期间,为患者提供了新翻译的,适合语言的资源.
主要成果:
- 30天的再接收率从干预前的17.3%下降到干预后的14.7%.
- 这意味着再接收人数减少了2.6%,但从统计学上来说并不显著 (p=0.375).
- 紧急部门的使用率显著下降,从90%降至15%.
结论:
- 实施的工作流促进了瘤病患者住院后的协调门诊护理.
- 加快护理改善了患者对住院后护理计划的理解和可访问性.
- 该干预措施被证明是可行的,易于实施,并显示出在患者护理方面有明显的改善,需要更多的时间来评估对再入院的统计影响.
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