患者报告数据和叙述的潜力,以提高急诊室入院期间的质量
Kelly T Gleason1, Kathryn M McDonald1,2, Susan M Peterson3
1Johns Hopkins University School of Nursing, Baltimore, MD 21205, United States.
Health affairs scholar
|July 29, 2025
概括
紧急部门 (ED) 的登机影响患者的体验和诊断质量. 在像ED CAHPS这样的调查中包括登机患者可以通过收集关键的患者报告结果来改善护理.
科学领域:
- 医疗保健管理的管理
- 患者体验研究 研究研究
- 紧急医疗 紧急医疗
背景情况:
- 急诊室 (ED) 的登机,即入院患者在ED等待住院病人的床位,是一个日益严重的问题.
- 这种登机与更糟糕的患者结果有关,并压迫医疗保健资源.
- 目前的患者体验调查往往不包括登机患者,缺少重要的质量改进数据.
研究的目的:
- 调查ED登机对患者报告诊断质量的影响.
- 探索如何将登机患者纳入调查可以为质量改进提供信息.
- 突出需要在ED登机期间加强患者沟通.
主要方法:
- 从所有ED患者 (出院和入院) 中使用验证仪器收集患者报告的结果数据.
- 分析了ED停留时间和诊断质量得分之间的相关性.
- 对常见主题和关于登机体验的建议进行了患者叙述的审查.
主要成果:
- 长时间的ED停留与患者报告的诊断质量得分明显较低有关.
- 在ED停留时间最高四分之一的平均得分为3.79/5,而在最低四分之一的平均得分为4.10/5.
- 患者叙述强调需要改善关于入院原因和登机延误的沟通.
结论:
- 在像ED CAHPS (医疗保健提供者和系统的消费者评估) 这样的调查中包括住院患者对于全面的质量评估至关重要.
- 结合开放式问题可以捕捉到对ED登机体验有价值的患者见解.
- 患者驱动的数据为缓解ED登机的负面影响提供了可操作的解决方案.
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