在住院诊所增加医疗保健代理人文件.
Mariah Eggebraaten1, Janisha Manhas2, Zach Merten1
1University of Minnesota Methodist Family Medicine Residency, St. Louis Park, Minnesota.
概括
实施一个简单的干预增加了医疗保健代理人 (HCA) 文件,以预先计划护理 (ACP). 这一举措也显示出需要更新现有的非洲和非洲国家和地区文件,以改善患者护理愿望的沟通.
科学领域:
- 医疗保健管理的管理
- 患者倡导 患者倡导
- 医疗文件 医疗文件
背景情况:
- 预先护理规划 (ACP) 涉及通过医疗保健代理 (HCA) 形式记录患者的愿望.
- 有效的HCA文档对于临床医生了解和尊重患者护理偏好至关重要.
- 这项研究解决了改善对ACP对话的习惯性和提高文档化率的需要.
研究的目的:
- 实施和评估工作流程重新设计和教育干预,旨在提高医疗保健代理人 (HCA) 文档化率.
- 评估面向患者的教育工具对启动预先护理计划 (ACP) 讨论的影响.
- 为了确定患者群体中过时的ACP/HCA文档的流行情况.
主要方法:
- 实施了工作流重新设计和新的教育干预措施.
- 50岁及以上的患者在登记时获得了HCA教育"蓝皮书",以促使讨论.
- 进行了图表审计,以评估文档状态并识别过时的记录.
主要成果:
- 这项干预措施在968名患者访问中的44%进行,导致HCA文档增加了4%.
- 图表审计显示,69%的患者拥有超过5年的ACP/HCA文件.
- 临床医生和工作人员报告说,该过程是有帮助的,对患者很重要,并且可持续.
结论:
- 一项廉价的干预措施有效地增加了医疗保健代理人 (HCA) 文件.
- 该研究强调,有必要定期更新现有的预先护理计划 (ACP) 文件.
- 这项干预措施被证明是改善非洲和非洲国家 (ACP) 文件记录实践的可持续方法.
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