应急和专科部门之间重新设计护理的新方法:质量经验报告
Sonia Rose Harris1, Christian Rose2, Samantha Mr Kling1
1Evaluation Sciences Unit, Division of Primary Care and Population Health, Department of Medicine, School of Medicine, Stanford University, 3180 Porter Drive, Palo Alto, CA, 94304, United States, 1 5155209181.
这项研究开发了一个4个组成部分的框架,以改善急诊室 (ED) 到门诊神经学转诊. 这项干预措施通过部门间合作和流程改进来优化护理过渡.
科学领域:
- 医疗保健管理
- 临床手术
- 部门间合作
背景情况:
- 越来越多的急诊室需求和有限的专科护理需要优化ED到专科的门诊转诊系统.
- 有效的护理转变对于患者的结果和经验至关重要,需要部门间合作.
研究的目的:
- 描述紧急医疗和神经病学部门之间的合作,以设计和实施最佳的退院和护理过渡过程.
- 为了介绍ED-to-ambulatory神经后续护理的结果干预.
主要方法:
- 使用了4个组成部分的框架:跨专业会议,实施前面试,设计思维重点小组和小组会议.
- 使用定性数据分析,包括观察笔记和文档审查.
主要成果:
- 一个多学科团队通过合作会议和采访确定了障碍和促进者.
- 开发了四个方面的干预措施:优化ED管理,增加初级保健转诊,简化保险授权,增加神经病学预约.
结论:
- 跨专业的合作成功地创建了一个多式干预措施,解决了结构和实践的变化,以改善ED-to-ambulatory神经学转诊.
- 拟议的框架为未来的部门间合作提供了一个模式,以加强护理转型.
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