在等待入院后入院的患者的床位封锁:转移协调的案例研究
Josefine M F Janssens1,2, Annelies van der Ham1,3, Dirk Ruwaard1
1Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, 6229 GT Maastricht, The Netherlands.
Healthcare (Basel, Switzerland)
|August 28, 2025
概括
医院的床位堵塞,即准备出院的患者等待室内护理 (IMC),受到复杂的协调过程的影响,而不仅仅是容量问题. 改善患者流动需要更好的数据和对协调阶段的洞察力.
科学领域:
- 医疗保健管理
- 医疗服务研究
- 医院运营
背景情况:
- 等待室内护理的老年患者可能会导致医院的"床位堵塞".
- 现有的研究主要针对能力,忽视了协调的作用.
- 这项研究研究了荷兰一家区域医院的IMC相关的床位封锁,重点是能力和协调.
研究的目的:
- 为了确定因患者等待IMC而导致的病床堵塞的程度.
- 分析患者出院的协调过程及其挑战.
- 确定导致患者转移到IMC延迟的因素.
主要方法:
- 荷兰一家地区医院的混合方法案例研究.
- 对系统数据,文件和与利益相关方 (医院,IMC,保险公司) 的采访进行分析.
- 重建患者路径以形成时间和网络层面的分析网络.
主要成果:
- 在2023年,6%的医院容量被等待IMC的患者使用.
- 在患者转移过程中的多个协调阶段发现了延迟.
- 由于IMC病床容量数据不足,因此无法得出关于容量限制的最终结论.
结论:
- 目前患者转移的协调系统复杂,导致等待时间和床位堵塞.
- 由于缺乏集中的容量概述和有限的数据,难以确定与容量相关的床位封锁.
- 对患者流量协调和所需的宽松容量进行更深入的洞察对于优化至关重要.
相关概念视频
Planning Nursing Care I
4.7K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.7K
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
297
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
297
Urinary Tract Calculi V: Nursing Management
27
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
27
Cardiac Catheterization IV: Nursing Management
191
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
191
Hospitals-II
827
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
827
Cardiac Catheterization I: Pre-Procedure Overview
153
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
153


