Goodwin D R
Clinical Services, Family Home Care, Spokane, WA.
J Nurs Adm. 1992 Feb;22(2):35-40. doi: 10.1097/00005110-199202000-00023.
Administrators and directors of home health agencies are increasingly accountable for the productive use of resources and quality patient outcomes. However, few reliable ways exist to measure and influence these components. The author proposes the use of the critical pathway typically used in acute care case management as an efficient tool to guide home health nursing practice. The author presents the process for developing a critical pathway for congestive heart failure patients in a home health agency, as well as results of a study determining when nursing interventions were implemented.
家庭健康机构的管理人员和主任对资源的有效利用和患者的优质治疗结果越来越负有责任。然而，衡量和影响这些因素的可靠方法却很少。作者提议将急性护理病例管理中常用的关键路径作为指导家庭健康护理实践的有效工具。作者介绍了在一家家庭健康机构中为充血性心力衰竭患者制定关键路径的过程，以及一项确定护理干预实施时间的研究结果。
