将执业护士同步干预模式扩展至社区获得性肺炎和慢性阻塞性肺疾病。
Extending the nurse practitioner concurrent intervention model to community-acquired pneumonia and chronic obstructive pulmonary disease.
作者信息
Gross Peter A, Aho Linda, Ashtyani Hormoz, Levine Jerome, McGee Margaret, Moran Stephen, Anton Thomas, Feldman Joseph, Kuyumjian Arpi, Skurnick Joan
机构信息
Department of Internal Medicine, Hackensack University Medical Center, New Jersey, USA.
出版信息
Jt Comm J Qual Saf. 2004 Jul;30(7):377-86. doi: 10.1016/s1549-3741(04)30043-2.
BACKGROUND
A Nurse Practitioner (NP) Concurrent Intervention Model shown effective for controlling telemetry usage was extended to patients with community-acquired pneumonia (CAP) and patients with chronic obstructive pulmonary disease (COPD).
METHODS
In spring 2000, investigators at Hackensack University Medical Center and the University of Medicine and Dentistry of New Jersey-New Jersey Medical School began an intervention to increase compliance with the Centers for Medicare & Medicaid Services (CMS) performance measures for CAP. Cost-reduction efforts were introduced by using previously described criteria for switching from intravenous to oral medication and for hospital discharge.
RESULTS
Use of the NP intervention model for patients admitted with CAP and for COPD patients resulted in significant reductions in length of stay and cost savings.
DISCUSSION
Concurrent intervention by a nurse practitioner can help achieve excellent compliance with performance measures for CAP and be applied to other chronic respiratory diseases such as COPD.
背景
一种已被证明对控制遥测使用有效的执业护士（NP）同步干预模式被扩展应用于社区获得性肺炎（CAP）患者和慢性阻塞性肺疾病（COPD）患者。
方法
2000年春季，哈肯萨克大学医学中心以及新泽西医学院（新泽西医学与牙科学院）的研究人员开始了一项干预措施，以提高对医疗保险和医疗补助服务中心（CMS）针对CAP的绩效指标的依从性。通过使用先前描述的从静脉用药转换为口服药物以及出院的标准来开展成本降低工作。
结果
将NP干预模式应用于CAP住院患者和COPD患者，显著缩短了住院时间并节省了成本。
讨论
执业护士的同步干预有助于实现对CAP绩效指标的高度依从，并且可应用于其他慢性呼吸道疾病，如COPD。
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