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一项实施中风出院宣传以降低30天再入院率的质量改进项目的成果。

Outcomes of a quality improvement project implementing stroke discharge advocacy to reduce 30-day readmission rates.

作者信息

Poston Kristen M, Dumas Bonnie P, Edlund Barbara J

机构信息

CVS Minute Clinic (Dr Poston); and Medical University of South Carolina College of Nursing (Drs Dumas and Edlund), Charleston, South Carolina.

出版信息

J Nurs Care Qual. 2014 Jul-Sep;29(3):237-44. doi: 10.1097/NCQ.0000000000000040.

DOI:10.1097/NCQ.0000000000000040
PMID:24322371
Abstract

The purpose of this quality improvement project was to determine whether use of aspects of a transitional care model by nurse navigators would affect 30-day readmission rates in hospitalized ischemic stroke patients discharged home with self-care. Thirty-day readmission rates and emergency department (ED) visits were compared before, during, and after the implementation of the revised discharge process. Comparative analysis demonstrated reductions in readmissions and in ED visits. Thirty-day readmission rates to our hospital decreased from 9.39% to 3.24% when comparing pre- with postintervention data. Thirty-day ED visit rates to all state hospitals decreased from 16.36% to 12.08% when comparing pre- with postintervention data.

摘要

这项质量改进项目的目的是确定护士导航员采用过渡性护理模式的某些方面是否会影响出院回家进行自我护理的住院缺血性中风患者的30天再入院率。在修订后的出院流程实施前、实施期间和实施后,对30天再入院率和急诊科就诊情况进行了比较。对比分析表明再入院率和急诊科就诊次数有所减少。将干预前和干预后的数据进行比较时,我院的30天再入院率从9.39%降至3.24%。将干预前和干预后的数据进行比较时,所有州立医院的30天急诊科就诊率从16.36%降至12.08%。

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