Kaplow M, Charest S, Mayo N, Benaroya S
Royal Victoria Hospital, McGill University Health Centre, Montreal.
Healthc Manage Forum. 1998 Summer;11(2):13-20. doi: 10.1016/S0840-4704(10)60640-0.
A multidisciplinary group from two medical floors at the Royal Victoria Hospital chose the Managed Care Appropriateness Program (MCAP) to evaluate the appropriateness of the days of stay for their patients. Of 100 charts of consecutive patients examined by the nurse reviewer (comprising 1,095 patient days), 33 percent of the days were deemed inappropriate. The reasons for each of these inappropriate days were documented, and strategies were implemented to address the issues. The major outcome of the study was a change in the culture of the health professionals to a more positive approach to defining and carrying out efficient patient care.
来自皇家维多利亚医院两个医疗楼层的多学科团队选择了管理式医疗适宜性项目（MCAP）来评估其患者住院天数的适宜性。在护士审核员检查的100例连续患者病历（共1095个患者住院日）中，33%的住院日被认为是不适宜的。记录了这些不适宜住院日的每一个原因，并实施了应对这些问题的策略。该研究的主要成果是医护人员的文化发生了转变，采用了更积极的方法来界定和实施高效的患者护理。
