远程患者监测计划的概念化,用于医院出院的复杂医疗疾病患者
Mariam Charkviani1, Douglas A Simonetto1, Desiree J Ahrens1
1Department of Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings. Digital health
|April 10, 2025
概括
远程患者监控 (RPM) 程序可以改善医院的过渡和资源使用. 开发一个可扩展的RPM框架需要一个混合护理模型和仔细的试点测试,以在医疗保健系统中取得成功.
科学领域:
- 卫生系统工程 卫生系统工程
- 临床信息学 临床信息学
- 患者护理模式的模型
背景情况:
- 远程患者监控 (RPM) 对患者护理过渡和医院资源管理提供了潜在的好处.
- 将RPM集成到大型医疗实践中需要一个结构化,可扩展的框架.
- 以人为中心的设计,卫生系统工程和临床专业知识对于成功开发RPM程序至关重要.
研究的目的:
- 描述在大型医疗机构内为远程患者监测 (RPM) 程序创建可扩展框架.
- 探索针对各种疾病和患者群体的RPM程序的开发.
- 报告总体的RPM计划,护理模式,技术和经验教训.
主要方法:
- 2020年7月在梅奥诊所罗切斯特启动,结合以人为中心的设计,卫生系统工程和临床专业知识.
- 开发了一种混合护理模式,以支持RPM干预.
- 实施了四个试点项目,用于肝硬化,急性损伤 (AKI),胰腺切除术后和胃肠道 (GI) 术后的住院患者.
主要成果:
- 启动了四个试点RPM计划,患者的入学人数在五个月内从0到91个患者不等.
- 平均RPM程序持续时间从30到96.5天不等.
- 三个试点项目 (肝硬化,AKI,胰腺切除术后) 继续招生;一个 (胃肠道术后手术) 已停止.
结论:
- 远程患者监控 (RPM) 可以促进医院到家庭的过渡,减少住院时间,并优化医院容量.
- 成功地在系统层面实施RPM需要对护理模式进行根本性的改变.
- 并非所有医疗条件或护理模式都适合RPM;试点测试对于确定合适的应用至关重要.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
544
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
544
01:31Discharge Summary Forms
705
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
705
01:29Documentation in Long-Term and Home Healthcare Setting
835
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
835
01:30Pulse rhythm
725
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
725
01:13Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
01:21Planning Nursing Care I
4.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K