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相关概念视频

Planning Nursing Care I01:21

Planning Nursing Care I

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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...
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Planning Nursing Care II01:29

Planning Nursing Care II

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A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
Decreasing Function01:27

Decreasing Function

305
A decreasing function describes a relationship where the output consistently declines as the input increases. This means that for any two input values, if one is greater than the other, the corresponding output is smaller. Mathematically, a function f is decreasing on an interval I if for every x1 < x2​ in I, f (x1) > f (x2). This type of behavior is visually identified on a graph that slopes downward from left to right.The nature of a function can be analyzed by calculating...
305
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

2.1K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Initiation of Translation02:33

Initiation of Translation

39.1K
Initiating translation is complex because it involves multiple molecules. Initiator tRNA, ribosomal subunits, and eukaryotic initiation factors (eIFs) are all required to assemble on the initiation codon of mRNA. This process consists of several steps that are mediated by different eIFs.
First, the initiator tRNA must be selected from the pool of elongator tRNAs by eukaryotic initiation factor 2 (eIF2). The initiator tRNA (Met-tRNAi) has conserved sequence elements including modified bases at...
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相关实验视频

Updated: Feb 10, 2026

The Establishment and Utilization of Patient Derived Xenograft Models of Central Nervous System Metastasis
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高使用者护理计划项目:一个网络倡议,以减少高风险患者中不适当的资源利用.

Vanessa Reese1, Justin Psaila2, Marisa Schwartz3

  • 1Research and Innovation, St. Luke's University Health Network, Bethlehem, USA.

Cureus
|February 9, 2026
PubMed
概括
此摘要是机器生成的。

大量使用者会增加医疗保健费用. 使用多学科团队和个性化护理计划 (ICPs) 的计划显著降低了医疗费用和患者访问急诊室和医院的费用.

关键词:
滥用医疗保健使用滥用医疗保健医疗保健使用者高效使用者高效使用者个性化护理计划 个性化护理计划质量改进研究 质量改进研究

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科学领域:

  • 医疗保健管理的管理
  • 卫生经济学 卫生经济学
  • 提高质量 提高质量

背景情况:

  • 美国医疗保健成本的上升受到高使用者 (HUs) 的显著影响,这是一个小的患者子集.
  • 医疗保健部门占医疗保健支出的近50%,通常使用资源不成比例和不必要.
  • 解决过度利用的多因素原因需要创新的,多方面的解决方案.

研究的目的:

  • 评估一项全面计划在识别高使用者 (HU) 方面的有效性.
  • 评估个性化护理计划 (ICP) 对减少医疗资源过度使用和相关成本的影响.
  • 测试质量改进过程和ICP减少医疗保健支出和利用率的假设.

主要方法:

  • 一个多学科团队根据2021年7月至2025年7月的DHHS定义确定了HUs.
  • 为每个患者创建了个性化护理计划 (ICP),并与他们的电子病历 (EMR) 联系起来.
  • 住院,门诊和急诊部 (ED) 设施的成本和利用率在ICP实施前后被测量.

主要成果:

  • 190名患者参加了ICP;平均年龄为45.15岁,其中62.6%是女性.
  • 在ICP实施后的四年研究期间,收费减少了4091万美元.
  • 统计学上显著的下降是注意到平均ED访问 (14.18至6.75),住院访问 (4.43至2.41),和住院成像研究 (9.35至5.41).

结论:

  • 大量使用者对过度医疗保健开支做出了重大贡献.
  • 结合多学科团队,标准化 HU 识别和 ICP 的混合方法有效降低了医疗保健成本.
  • 这种综合策略还减少了急诊室 (ED) 和住院患者的访问,以及不必要的成像.