在学术儿科内分泌学实践中实施课后护士线
Abha Choudhary1, Soumya Adhikari1, Perrin C White1
1Division of Pediatric Endocrinology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9063, USA.
Pediatric diabetes
|April 30, 2025
概括
儿科糖尿病患者的下班护士分拣改善了护理的准入和质量. 这项服务有效地管理了电话,减少了医生的工作负担,而不会损害患者的安全,尽管语言障碍影响了利用.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医疗保健管理的管理
- 护理实践 护理实践
背景情况:
- 经过培训的护士为儿科患者提供课后分拣,提高决策一致性,护理获取和质量.
- 这种方法可以减少值班医生的工作量.
- 在儿科糖尿病患者群体中,关于这个模型的公布数据有限.
研究的目的:
- 评估小儿糖尿病患者的开放后护士分拣服务的有效性.
- 评估对急诊室利用率和医生负担的影响.
- 识别服务利用中的人口差异.
主要方法:
- 在2019年9月在一家儿科教学医院建立了一个下班时间的呼叫服务.
- 修改了巴顿·施密特指南,包括机构特定的糖尿病协议,用于电话分拣.
- 分析了呼叫者的人口统计数据,呼叫原因,急诊室呈现和临床处置.
主要成果:
- 该服务在没有医生干预的情况下处理了70%的电话.
- 没有被分组到家庭护理的患者需要随后的急诊室访问或住院治疗.
- 在急诊室访问之前使用该服务的患者病情较少,出院频率更高.
- 在说西班牙语的家长中,利用率较低,但在种族和保险群体中公平.
结论:
- 工作时间后的服务证明了准确的分组和减少了医生工作量.
- 这项服务在不同种族和保险状态之间得到了公平的使用.
- 语言障碍被确定为限制服务利用的因素.
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