探索创新和因素,以优化阿尔伯塔省成人神经外科住院患者流量
Amelia Wells1,2, Elisavet Papathanassoglou2,3, Balraj Mann2
1Faculty of Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
概括
阿尔伯塔省的神经外科患者住院时间比预期的要长,原因包括跨学科的护理和患者的特点等因素. 优化住院患者流动是改善神经外科结果的关键.
科学领域:
- 神经外科 神经外科
- 医疗保健服务研究 医疗服务研究
- 患者流量管理患者流量管理
背景情况:
- 在神经外科手术中,不有效的住院患者流量管理与患者不良结果有关,包括死亡率和再入院.
- 在阿尔伯塔州的神经外科护理中观察到低于最佳的平均逗留时间 (ALOS) 和预期逗留时间 (ELOS) 率.
- 确定影响神经外科住院患者流动的因素对于提高患者体验和结果至关重要.
研究的目的:
- 评估阿尔伯塔省神经外科服务中住院患者流动的现状.
- 探索改善神经外科住院患者流动和患者结果的策略.
- 分析影响神经外科手术中ALOS/ELOS的患者和系统级因素.
主要方法:
- 一种混合方法的方法,结合了快速范围审查和回顾性队列研究.
- 范围审查综合文献,以确定影响神经外科住院患者流动的因素.
- 对阿尔伯塔省成年神经外科患者数据 (2009-2019) 的回顾性队列分析.
主要成果:
- 影响神经外科住院患者流动的关键主题包括跨学科护理,新角色和风险因素识别.
- 在阿尔伯塔省卫生服务区中发现ALOS/ELOS率的显著变化,其中农村区1显示出最高率.
- 患者的年龄,性别,地理区域和并发症是ALOS/ELOS (p < 0.001) 的重要预测因素.
结论:
- 阿尔伯塔省的神经外科的病人住院时间比预期的要长.
- 需要进一步的研究来确定改善神经外科患者流量的具体领域.
- 存在潜在的策略,通过优化住院患者流量来提高患者护理和结果.
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