在市政医疗保健系统中制定和实施快速出院计划
Ryan M Leone1, Laura G Iavicoli1, David M Silvestri1
1Ryan M. Leone, MSc, is a Medical Student, Columbia University, Vagelos College of Physicians and Surgeons, New York, NY, and a Visiting Scholar, National Center for Disaster Medicine and Public Health, Uniformed Services University, Bethesda, MD. Laura G. Iavicoli, MD, MBA, is a Professor of Emergency Medicine, Icahn School of Medicine at Mount Sinai, and Chief Medical Officer, NYC Health + Hospitals/Elmhurst; both in New York, NY. David M. Silvestri, MD, MBA, MHS, is Assistant Vice President of Emergency Management, NYC Health + Hospitals, New York, NY. R. James Salway, MD, MSc, is an Assistant Professor of Emergency Medicine, Weill Cornell School of Medicine, New York, NY.
医院可以在紧急情况下迅速增加容量,通过使用反向分类快速出院患者. 一个新的,用户友好的基于风险的,缩写的,患者识别出院 (RAPID) 工具被开发和成功测试.
科学领域:
- 医疗保健管理的管理
- 应急准备情况 应急准备情况
- 公共卫生政策 公共卫生政策
背景情况:
- 在自然灾害或人员短缺等紧急情况下,患者需求可能超过医院的容量.
- 现有的反向分类工具往往是广泛的,并且在危机情况下很难使用.
- 美国最大的市政医疗保健系统寻求简化患者出院的方法.
研究的目的:
- 制定一个简洁和用户友好的计划,以快速释放患者.
- 创建一个综合工具,用于应急激增能力管理.
- 为了解决当前广泛和孤立的排放工具的局限性.
主要方法:
- 专家咨询和审查现有文献 (同行评审,灰色和内部文件).
- 开发一个7页的快速行动清单.
- 将关键信息合成一个可操作的工具.
主要成果:
- 创建了一个7页的快速行动检查清单,即基于风险的,缩写的,患者识别出院 (RAPID) 工具.
- 在2023年5月的一次居民劳动行动中,RAPID工具已成功实施.
- 该工具的实用性超出了最初的开发系统.
结论:
- RAPID工具提供了一种实际的解决方案,通过高效的患者出院来提高医院的激增能力.
- 该工具的成功实施凸显了其在应急管理中更广泛应用的潜力.
- 建议对RAPID工具进行进一步的验证和改进,以便在未来使用.
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