一个超急性神经科团队——变革急诊神经护理。
A hyperacute neurology team - transforming emergency neurological care.
作者信息
Nitkunan Arani, MacDonald Bridget K, Boodhoo Ajay, Tomkins Andrew, Smyth Caitlin, Southam Medina, Schon Fred
机构信息
Croydon University Hospital, Croydon, UK
Croydon University Hospital, Croydon, UK.
出版信息
Clin Med (Lond). 2017 Jul;17(4):298-302. doi: 10.7861/clinmedicine.17-4-298.
We present the results of an 18-month study of a new model of how to care for emergency neurological admissions. We have established a hyperacute neurology team at a single district general hospital. Key features are a senior acute neurology nurse coordinator, an exclusively consultant-delivered service, acute epilepsy nurses, an acute neurophysiology service supported by neuroradiology and acute physicians and based within the acute medical admissions unit. Key improvements are a major increase in the number of patients seen, the speed with which they are seen and the percentage seen on acute medical unit before going to the general wards. We have shown a reduced length of stay and readmission rates for patients with epilepsy. Epilepsy accounted for 30% of all referrals. The cost implications of running this service are modest. We feel that this model is worthy of widespread consideration.
我们展示了一项为期18个月的关于如何护理急诊神经科住院患者新模式的研究结果。我们在一家单一的地区综合医院组建了一个超急性神经科团队。关键特征包括一名资深急性神经科护士协调员、一项仅由顾问提供的服务、急性癫痫护士、一项由神经放射学和急性内科医生支持且设在急性内科住院部的急性神经生理学服务。主要改进之处在于就诊患者数量大幅增加、患者就诊速度加快以及在转至普通病房之前在急性内科住院部就诊的患者比例提高。我们已经证明癫痫患者的住院时间和再入院率有所降低。癫痫占所有转诊病例的30%。运行这项服务的成本影响不大。我们认为这种模式值得广泛考虑。
Zotero 插件