虚拟指导基于价值的手术前评估对安全性,效率,患者和专业人员满意度的影响
José Luis Gracia Martínez1, Miguel Ángel Morales Coca2, Marta Del Olmo Rodríguez3,4,5
1Anesthesiology Department, General Villalba University Hospital, 28400 Madrid, Spain.
Journal of clinical medicine
|May 14, 2025
概括
实施虚拟领导的综合实践单元 (IPU) 进行术前评估,提高了效率和患者满意度,而不会增加手术并发症. 这种数字化,基于价值的模型可以大大节省时间,提高麻醉师的幸福感.
科学领域:
- 医疗保健管理的管理
- 手术优化手术优化
- 数字健康数字健康
背景情况:
- 随着选择性手术需求的增加,需要优化手术前评估.
- 基于价值的医疗保健模式,包括综合实践单位 (IPU),旨在提高患者的价值.
- 虚拟引导的IPU在术前评估中的有效性仍未得到充分研究.
研究的目的:
- 分析虚拟领导的综合实践单位 (IPU) 模型对手术前评估的影响.
- 评估在实施后手术并发症,效率和患者满意度的变化.
- 为了评估麻醉师对虚拟手术前评估的满意度.
主要方法:
- 追溯观察队列研究 (2018-2023),比较实施前后的时间.
- 将手术前评估重组为虚拟主导的IPU,并进行护士麻醉师检查.
- 通过移动应用程序进行异步虚拟麻醉师评估和数字患者教育.
主要成果:
- 实施后没有观察到手术并发症的增加.
- 同一天的取消数量显著下降 (4.3%至2.8%),患者满意度有所改善.
- 虚拟评估减少了麻醉师评估时间 (4.5分钟而不是10分钟),大大节省了时间,改善了麻醉师的工作与生活的平衡.
结论:
- 基于价值的数字增强型手术前护理模式提高了效率和患者满意度.
- 这种模式可以降低不必要的成本,并有可能提高整体护理质量.
- 虚拟手术前评估有助于提高麻醉师的效率和福祉.
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