连接护理项目,弥合急性和后急性护理之间的差距
Housam Hegazy1,2,3,4, Koh-Eun Narm5,6, Brian Pratt5
1Division of Hospital Medicine, State University of New York Upstate Medical University, Syracuse, USA. drhhegazy@gmail.com.
Journal of general internal medicine
|May 14, 2025
概括
连接护理项目 (CCP) 通过使用门诊减少了医院观察入院,特别是胸痛,通过使用门诊. 这种创新模式改善了医院的容量和患者流动.
科学领域:
- 医疗保健管理的管理
- 医院的运作 医院的运作
- 门诊护理服务提供服务.
背景情况:
- 美国医院面临着严重的接入和容量挑战.
- 优化资源和患者流动对于医疗保健系统至关重要.
- 改善获得及时门诊护理的机会是关键的战略目标.
研究的目的:
- 评估基于诊所的门诊服务作为传统医院观察的替代方案的影响.
- 评估Connect Care Project (CCP) 在管理以前接受观察的患者中的有效性.
- 分析CCP实施后医院观察入院的变化,特别是胸痛.
主要方法:
- 在SUNY上州大学医院 (2020年3月至2023年4月) 医疗入院的回顾性审查.
- 在CPC实施之前和之后 (2021年11月) 向急诊部 (ED) 提交的患者的分析.
- 对13个月前和CCP后的观察入院情况进行比较,特别关注胸痛病例.
主要成果:
- 连接护理项目 (CCP) 导致医院观察入院人数显著下降.
- 对胸痛的观察录取,这是观察的常见原因,特别是在CCP后显著下降.
- 中央反对派模型对医院容量和患者流量产生了积极影响.
结论:
- 中央对手模型为医院观察提供了一个有效的替代方案,提高了效率.
- 这种创新方法简化了患者管理,并提高了医疗保健的准入.
- 中央货币对手模型具有适应性,并显示出在医疗保健环境中更广泛实施的潜力.
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