实施连续视频监控计划,以减少长期急症护理医院的住院患者下降:一个前性的观察队列研究
Lisa Kalafus1, Henry Charles Hrdlicka, Jennifer Lombardi
1Lisa Kalafus is the chief nursing officer at Gaylord Specialty Healthcare in Wallingford, CT, where Henry Charles Hrdlicka is the director of research, Jennifer Lombardi is the telesitting coordinator and a nurse supervisor, and June Napolitano and Nicole Morrill are nurse managers. Samantha Proctor is a graduate medical student at the Campbell University Jerry M. Wallace School of Osteopathic Medicine in Buies Creek, NC, as well as a research apprentice at Gaylord Specialty Healthcare. Leasing costs for the continuous video monitoring devices and system software used in the study were paid by the study site; the manufacturer did not sponsor the research. The authors wish to acknowledge the telesitter technicians as well as the team members from the information technology, quality and safety, and nursing departments who provided input on implementation of the program and helped to maintain the equipment. Contact co-first authors: Lisa Kalafus, lkalafus@gaylord.org, and Henry Charles Hrdlicka, hhrdlicka@gaylord.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
持续的视频监控显著减少了长期急症护理医院 (LTACHs) 的住院患者倒和保姆使用,节省了超过320万美元. 这种患者安全计划对于LTACHs来说是具有成本效益的.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 医院运营 医院运营
背景情况:
- 持续视频监控 (CVM) 在短期急性护理医院是有效的.
- 它对长期急性护理医院 (LTACHs) 的影响仍未得到充分研究.
- 这项研究研究了LTACH环境中的CVM.
研究的目的:
- 在LTACH中实施和评估CVM计划.
- 评估该计划对住院患者跌倒和1:1保姆使用的影响.
- 分析CVM实施的相关成本影响.
主要方法:
- 预期观察队列研究设计.
- 数据收集超过20个月 (2021年2月至2022年9月) 在美国LTACH.
- 与20个月的历史数据 (2019年6月至2021年1月) 相比,住院患者的跌倒和1:1的坐着时间.
主要成果:
- 住院患者的跌倒率显著下降,从每月17.2个跌倒率降至12.9个跌倒率 (P=0.02).
- 1:1的保姆时间从每月的1,428小时大幅下降到每月140小时 (P<0.001).
- 由于减少劳动力和跌倒,估计的成本节省超过了320万美元.
结论:
- 实施CVM使患者和医院都受益.
- CVM 是一个具有成本效益的策略,用于减少LTACHs的下降.
- 持续的视频监控提高了患者的安全性,并减少了LTACH设置中的托儿员依赖.
更多相关视频
05:26Author Spotlight: Innovations in iTUG Test for Enhanced Risk Assessment and Cognitive Insights
Published on: October 25, 2024
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
相关概念视频
Pulse rhythm
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Continuing Care
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Continuous Renal Replacement Therapy
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
