Kingdon Brenda, Newman Kevin
Flagler Hospital, St Augustine, Fla, USA.
AORN J. 2006 Apr;83(4):898-904. doi: 10.1016/s0001-2092(06)60009-4.
Discharge of an outpatient surgical patient to home implies that the patient is clinically stable and capable, to some degree, of self-care. Nurses currently have no formal evidence-based clinical criteria to assist them in determining outpatient surgical patients' readiness for discharge to home. Nurses often make discharge decisions based on their education, experience, and personal beliefs. The goal of this quality improvement project was to identify specific factors that outpatient surgery nurses consider in assessing readiness of patients for discharge. The results were used to develop orientation and educational programs for outpatient surgery staff members and were incorporated into a patient discharge assessment checklist.
门诊手术患者出院回家意味着该患者临床状况稳定，且在一定程度上有自理能力。目前护士没有基于证据的正式临床标准来协助他们确定门诊手术患者是否具备出院回家的条件。护士通常根据自己的教育背景、经验和个人信念做出出院决定。这个质量改进项目的目标是确定门诊手术护士在评估患者出院准备情况时所考虑的具体因素。研究结果被用于为门诊手术工作人员制定培训和教育计划，并纳入患者出院评估清单。
