从分拣到离开:老年人的ED旅程. 一个混合方法的研究研究
Melinda Williamson1, Kristie J Harper2, Sarah Bernard3
1Occupational Therapy Department, Sir Charles Gairdner Hospital, Curtin University, School of Allied Health, Hospital Avenue, Nedlands, Western Australia 6025, Australia.
Australasian emergency care
|March 27, 2025
概括
在急诊室 (ED) 早期的健康评估可以改善对脆弱的老年人的护理. 这项研究确定了开发早期健康脆弱性服务的因素,旨在减少长时间的病人停留.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 紧急服务部门 (ED) 面临着对脆弱老年人的评估和管理的日益增长的需求.
- 在ED中,医疗保健专业人员在综合护理和患者安全方面发挥着至关重要的作用.
- 目前的相关卫生干预措施通常发生在ED患者旅程的晚期.
研究的目的:
- 调查影响ED中脆弱老年人相关健康转诊的因素.
- 共同设计一个早期的健康脆弱性服务,以改善患者护理和资源利用.
- 确定实施及时相关卫生干预措施的机会和障碍.
主要方法:
- 采用了一种解释性的顺序混合方法方法.
- 对低急性老年ED患者进行了患者旅程映射.
- 利益相关者聚焦小组被用来收集定性数据.
主要成果:
- 较老的ED患者经历了医疗评估,床位分配和相关健康评估的显著等待时间,导致ED逗留时间 (LOS) 延长.
- 利益相关者认为早期结盟医疗服务有好处,包括减少LOS,加强处置规划和提高员工信心.
- 确定的障碍包括空间限制,评估竞争和不完整的调查,解决方案侧重于改进的包容性标准和员工教育.
结论:
- 在目前的ED环境中,盟军的健康评估比国家目标晚得多.
- 该研究成功地确定了关键的机会和障碍,为早期的健康脆弱性服务的发展提供了信息.
- 实施早期的健康脆弱性服务有潜力优化ED中老年人的护理途径.
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