护理中的微转换的最佳实践建议 - - 护理转换的新兴分类:一个共识声明
Benjamin E Canter1, Sing T Palat2, Kenneth S Boockvar3
1Department of Occupational Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA.
Journal of the American Medical Directors Association
|October 4, 2025
概括
这项研究制定了最佳实践建议,用于在急性后和长期护理 (PALTC) 环境中安全管理微转换. 实施这些指导方针可以减少患者的不良事件,如摔倒和急诊室转移.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 微转换,即急性后和长期护理 (PALTC) 中的短期护理变化,经常发生,并带来与重大转换类似的风险.
- 对于协调安全的微转换存在有限的证据,需要制定最佳实践.
研究的目的:
- 为促进微转换的PALTC工作人员制定基于证据的建议.
- 评估这些建议的可行性和临床益处.
主要方法:
- 一个经过修改的Delphi研究,涉及39名专家小组成员.
- 关于安全地促进房间更换,休旅行和医疗预约的声明在三轮开发和完善.
- 共识被定义为≥80%的同意,重点是可行性和临床益处.
主要成果:
- 在70个 (72.9%) 完成的陈述中,51个达到了可行性和/或临床益处的共识.
- 80.4%的受访者达到了关于可行性的共识,96.1%的受访者达到了关于临床益处的共识.
- 39个陈述 (76.5%) 在可行性和临床益处方面达到了共识.
结论:
- 这项研究为PALTC工作人员提供了第一套关于促进微转换的建议.
- 实施这些建议可以减轻不良事件的风险,包括跌倒和转移到急诊室的风险.
- 这些指导方针支持以患者为中心的流程,以确保安全的微转换协调.
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