下午放学回合,以弥补错过的当天机会
George Bechir1, Mariam Ameeruddin2
1Hospital Medicine, Franciscan Health Munster, Munster, USA.
Cureus
|November 26, 2025
概括
下午重新评估计划可以通过识别已解决的障碍来增加当天出院的数量. 这可以改善患者流动,并通过在晚些时候抓住错过的出院机会来降低成本.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 优化患者流量优化
背景情况:
- 当前的医院出院做法往往错过了准备在下午出院的患者.
- 晨放轮是标准的,但只代表一个评估点,导致不必要的过夜和增加成本.
研究的目的:
- 审查关于下午排放干预的文献,并确定当天排放的障碍.
- 探索结构化的下午再评估计划及其增加当天出院的潜力.
主要方法:
- 对2010年至2024年间出版的文献进行叙述性综述.
- 分析下午排放干预,排放时间模式和当天排放的障碍.
主要成果:
- 临床里程碑和解决的排出障碍经常发生在下午,但往往错过了.
- 结构化的下午重新评估计划,特别是放电协调员模式,显示出增加当天放电的希望.
- 障碍包括员工的抵抗,工作流的问题和系统的局限性;医疗患者有单个障碍的反应最好.
结论:
- 午后重新评估协议,就像后期循环跟踪模型一样,提供了一个低资源,高影响力的战略,以改善患者流动.
- 实施这些协议需要一个指定的倡导者,明确的沟通和专注的患者选择.
- 系统的下午审查捕捉错过的出院机会,解决医院容量限制和成本上升的问题.
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