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临终综合护理的电子实施:一种本地化方法。

Electronic Implementation of Integrated End-of-life Care: A Local Approach.

作者信息

Schlieper Daniel, Altreuther Christiane, Schallenburger Manuela, Neukirchen Martin, Schmitz Andrea, Schulz-Quach Christian

机构信息

Interdisciplinary Centre for Palliative Medicine, Medical Faculty, Heinrich Heine University, Düsseldorf, DE.

Interdisciplinary Centre for Palliative Medicine and Department of Anesthesiology, Medical Faculty, Heinrich Heine University, Düsseldorf, DE.

出版信息

Int J Integr Care. 2017 Jun 20;17(2):4. doi: 10.5334/ijic.2507.

Abstract

INTRODUCTION

The Liverpool Care Pathway for the Dying Patient is an instrument to deliver integrated care for patients in their last hours of life. Originally a paper-based system, this study investigates the feasibility of an electronic version.

METHODS

An electronic Liverpool Care Pathway was implemented in a specialized palliative care unit of a German university hospital. Its use is exemplified by means of auditing and analysis of the proportion of recorded items.

RESULTS

In the years 2013 and 2014 the electronic Liverpool Care Pathway was used for the care of 159 patients. The uptake of the instrument was high (67%). Most items were recorded. Apart from a high usability, the fast data retrieval allows fast analysis for auditing and research.

CONCLUSIONS AND DISCUSSION

The electronic instrument is feasible in a computerized ward and has strong advantages for retrospective analysis.

TRIAL REGISTRATION

Internal Clinical Trial Register of the Medical Faculty, Heinrich Heine University Düsseldorf, No. 2015124683 (7 December 2015).

摘要

引言

《利物浦临终患者护理路径》是一种为处于生命最后时刻的患者提供综合护理的工具。该护理路径最初是纸质系统,本研究探讨其电子版本的可行性。

方法

在德国一家大学医院的专科姑息治疗病房实施了电子《利物浦临终患者护理路径》。通过审核和分析记录项目的比例来说明其使用情况。

结果

在2013年和2014年,电子《利物浦临终患者护理路径》用于159例患者的护理。该工具的使用率很高(67%)。大多数项目都有记录。除了具有高度可用性外,快速的数据检索便于进行审核和研究的快速分析。

结论与讨论

该电子工具在计算机化病房中是可行的,并且在回顾性分析方面具有强大优势。

试验注册

杜塞尔多夫海因里希·海涅大学医学院内部临床试验注册,编号2015124683(2015年12月7日)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0a0/5624064/2570ff5fcd09/ijic-17-2-2507-g1.jpg

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