Crumbley D R, Ice R C, Cassidy R
Medical University of South Carolina, USA.
Nurs Case Manag. 1999 Jul-Aug;4(4):168-77; quiz 178-80.
The wound Care Clinic at Naval Hospital Charleston is a nurse-managed ambulatory clinic that has demonstrated the successful application of nursing case management in caring for patients with chronic and complex wounds. Nursing case management is an outcomes-based system of assessment, planning, provision of nursing services, coordination of interdisciplinary efforts, education, and referral. Nursing case management has been shown, in the literature and at Naval Hospital Charleston, to be an extension of role of professional nursing practice and results in decreased costs, improved quality of care, faster wound healing times, decreased complications, and greater coordination of care between specialty disciplines. These positive results are illustrated in several case studies. Nursing case management has many implications for the successful implementation of any healthcare delivery system where decreased costs and improved quality of care are valued, and it has special benefit in the complex management of chronically ill patients.
查尔斯顿海军医院的伤口护理诊所是一家由护士管理的门诊诊所，该诊所在护理慢性和复杂伤口患者方面成功应用了护理病例管理。护理病例管理是一个基于结果的评估、计划、护理服务提供、跨学科协作协调、教育和转诊系统。文献以及查尔斯顿海军医院的实践均表明，护理病例管理是专业护理实践角色的延伸，可降低成本、提高护理质量、缩短伤口愈合时间、减少并发症，并加强专科之间的护理协调。若干案例研究展示了这些积极成果。护理病例管理对于任何重视降低成本和提高护理质量的医疗服务提供系统的成功实施都具有诸多意义，并且在慢性病患者的复杂管理中具有特殊益处。
