Sobotka Sarah A, Hird-McCorry Lindsey P, Goodman Denise M
Department of Pediatrics, University of Chicago, Chicago, Illinois;
Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; and.
Hosp Pediatr. 2016 Sep;6(9):552-7. doi: 10.1542/hpeds.2015-0277. Epub 2016 Aug 18.
The core mission of the Pulmonary Habilitation Program is to train and prepare caregivers for the care of a ventilated child in the home. It exists within a free-standing children's hospital. The program is supported by a multidisciplinary staff and serves ∼100 children. Through standardizing electronic documentation with process-specific tracking for the discharge process, the Pulmonary Habilitation Program team sought to identify intervention opportunities for more efficient and effective discharges.
The process of discharge was described using an iterative process, with the multidisciplinary team and discharge milestones noted in the medical chart.
Several nonmedical factors contribute to prolonged hospital stays, including parent training, approval from the state agency for home care, and staffing of home nursing. Children had median lengths of stay of 141 days (interquartile range, 68 to 177).
As a result of this initial investigation, application to the state agency and training for caregivers have been initiated sooner, when a tracheostomy is first placed.
肺部康复计划的核心任务是培训并使护理人员做好在家中护理通气患儿的准备。该计划位于一家独立的儿童医院内。该计划由多学科工作人员提供支持，服务约100名儿童。通过对出院流程进行特定流程跟踪来规范电子文档，肺部康复计划团队试图确定更高效、更有效的出院干预机会。
使用迭代过程描述出院流程，并在病历中记录多学科团队和出院里程碑。
几个非医疗因素导致住院时间延长，包括家长培训、州机构对家庭护理的批准以及家庭护理人员配备。患儿的中位住院时间为141天（四分位间距为68至177天）。
作为此次初步调查的结果，在首次进行气管造口术时，就已尽早向州机构提出申请并对护理人员进行培训。
