虚拟护理实施对急诊室效率和护理质量的影响
Saif Khairat1, Jennifer Morelli2, Qiyao Qin3
1School of Nursing, University of North Carolina at Chapel Hill, NC, USA; Carolina Health Informatics Program, University of North Carolina at Chapel Hill, NC 27514, USA; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, NC 27514, USA.
The American journal of emergency medicine
|February 23, 2025
概括
虚拟护理,远程医疗护理模式,大大减少了急诊室 (ED) 的等待时间,并提高了文件的完整性. 这种创新方法还导致了患者入院评估期间的中断减少.
科学领域:
- 医疗保健提供模式 医疗保健提供模式
- 护理信息学 护理信息学
- 紧急医疗 紧急医疗
背景情况:
- 护士短缺导致急诊室等待时间延长和患者文件不完整.
- 虚拟护理是一种利用远程医疗的新型护理模式,正在被采用,以解决护理负担并增强患者护理.
- 这种模式利用远程护理专业知识提供护理和支持.
研究的目的:
- 评估虚拟护理对通过ED入院的患者质量结果的影响.
- 关键的结果指标包括ED等待时间,入院评估时间,文件完整性和中断频率.
- 这项研究旨在量化虚拟护理实施与这些关键护理指标之间的关联.
主要方法:
- 进行了一项非随机的回顾性队列研究.
- 该研究包括了通过ED进入六家医院之一的成年患者 (年龄大于18岁).
- 收集了接受面对面或虚拟护理入学评估的患者的数据.
主要成果:
- 使用虚拟护理的患者的平均等待时间较短 (429.5分钟),而非面对面的评估 (525.5分钟).
- 虚拟护理与更完整的护理文档 (0.2个未完成的字段与0.4) 和更少的中断 (1.4与1.8) 相关.
- 招生评估的持续时间显示,虚拟护理 (29.0分钟) 与实体护理 (24.0分钟) 略有增加.
结论:
- 虚拟护理的实施与改善ED患者流量有关,以减少等待时间和提高文档质量为证.
- 该模型展示了缓解护理倦怠和改善卫生系统内护理协调的潜力.
- 虚拟护理是优化ED操作和患者护理的有希望的策略.
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