Department of Surgery, Division of Emergency Medicine, St. Louis University School of Medicine, St. Louis, MO, USA.
Geriatr Nurs. 2011 Jul-Aug;32(4):270-5. doi: 10.1016/j.gerinurse.2011.05.001.
The purpose of this study was to determine whether the use of a transfer form increases the availability of essential information needed for patient care and to examine its effect on case resolution time and disposition status. A retrospective review was performed that included patients 65 years old or greater arriving from nursing homes to an academic Emergency Department from January to June 2009. Eighty randomly selected charts were reviewed. Sixteen items were deemed essential based on an expert-based rubric published in 2006. Each case was scored accordingly. Results indicate that the transfer form group had available, on average, 71% of the essential items as compared to 28% for cases without a transfer form (p < 0.001). There was no difference in the case resolution time (p = 0.94) or in disposition status (p = 0.12). In conclusion, essential information for providing emergency department patient care was significantly increased with the use of a transfer form.
这项研究的目的是确定使用转院表格是否可以增加提供患者护理所需的基本信息的可用性,并研究其对病例解决时间和处置状态的影响。我们进行了一项回顾性研究,纳入了 2009 年 1 月至 6 月从养老院到学术急诊科就诊的 65 岁及以上的患者。随机回顾了 80 份图表。根据 2006 年发表的专家制定的评分标准,确定了 16 项被认为是基本的项目。每个病例都根据相应的标准进行评分。结果表明,与没有转院表格的病例(28%)相比,转院表格组的平均有 71%的基本项目可用(p<0.001)。病例解决时间(p=0.94)或处置状态(p=0.12)无差异。结论:使用转院表格可显著增加提供急诊科患者护理的基本信息。