Miranda Mary Beth, Gorski Lisa A, LeFevre Jacqueline G, Levac Kathleen A, Niederstadt Jennifer A, Toy Anne L
Covenant Healthcare System, Milwaukee, Wisconsin, USA.
J Nurs Care Qual. 2002 Oct;17(1):1-14. doi: 10.1097/00001786-200210000-00002.
A coordinated initiative for patients with heart failure was planned and implemented across this healthcare system to: (1) incorporate best evidence-based practice to rapidly stabilize the patient, and (2) establish early, coordinated patient education to promote self-care at home with the support of appropriate resources. Length of stay, readmission frequency, ACE inhibitor and beta blocker prescribing patterns at discharge were the outcomes selected for ongoing study and cross-site efforts toward improvement. These outcomes did improve following cross-site implementation with the collaboration of all appropriate disciplines and the coordination of new and existing services to serve this population.
在整个医疗系统中，针对心力衰竭患者制定并实施了一项协调一致的倡议，目的是：（1）采用基于最佳证据的做法迅速稳定患者病情；（2）开展早期、协调一致的患者教育，以便在适当资源的支持下促进患者在家中的自我护理。住院时间、再入院频率、出院时血管紧张素转换酶抑制剂和β受体阻滞剂的处方模式是选定用于持续研究以及跨机构改进工作的结果指标。在跨机构实施过程中，所有相关学科开展协作，并对新的和现有的服务进行协调，以服务这一人群，这些结果指标的确得到了改善。
