紧急护理管理计划的绩效审查 电子记录的实施前后
Daryl Yeak1, Abdi D Osman1,2,3, Paul MacGibbon1
1Emergency Department, Austin Health, Heidelberg, Melbourne, Victoria, Australia.
Emergency medicine Australasia : EMA
|June 17, 2025
概括
电子紧急护理管理计划 (ECMP) 显著减少了患者的访问和在急诊室 (ED) 停留的时间. 这种数字化转型提高了护理效率和患者的治疗结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 患者护理管理 患者护理管理
背景情况:
- 常见的急救部门 (ED) 用户往往有复杂的需求,导致高资源利用率和长时间停留.
- 紧急护理管理计划 (ECMP) 旨在个性化护理,确定目标,防止不必要的干预,减少ED访问的频率和持续时间.
- 2012年4月2日,ECMP从纸质转换为电子医疗记录 (EMR),旨在提高可访问性和影响医疗服务.
研究的目的:
- 评估实施电子紧急护理管理计划 (ECMP) 对急救部门 (ED) 访问频率和持续时间的影响.
- 为了评估患者人口统计学变化,分组数据,访问频率,停留时间 (LOS),以及ECMP数字化后的出院诊断.
主要方法:
- 追溯观察性研究设计遵循STROBE检查清单.
- 分析了115名电子ECMP患者的数据,比较了实施前和后的指标.
- 关键变量包括人口统计,澳大利亚选量表 (ATS) 类别,访问频率,ED LOS和短期停留单位 LOS (SSULOS).
主要成果:
- 实施后,每名患者ED表现的平均数量从16下降到9.
- 紧急部门的停留时间 (EDLOS) 从4676分钟大幅减少到2577分钟 (p < 0.001).
- 短暂停留单位停留时间 (SSULOS) 从1359分钟减少到638分钟,导致整体LOS减少了2802分钟 (p < 0.001).
结论:
- 电子紧急护理管理计划 (ECMP) 有效地减少了急诊室 (ED) 访问的频率和持续时间.
- 电子医疗药师的数字化证明对ED资源利用和患者流动产生了积极的影响.
- 进一步的研究应该调查患者的经验和额外的结果措施,以充分了解电子ECMPs的好处.
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