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通过护理科学降低 30 天再入院率:应用过渡理论和最佳实践指南。

Reducing 30-Day Readmissions Through Nursing Science: An Application of Transitions Theory With Best Practice Guidelines.

机构信息

Pacific Lutheran University, School of Nursing, Tacoma, Washington. Ms Stixrood is currently working as a Labor and Delivery Nurse at St Joseph Medical Center and a nurse at the Pierce County Jail. She is also a member of Sigma Theta.

出版信息

ANS Adv Nurs Sci. 2020 Jan/Mar;43(1):2-14. doi: 10.1097/ANS.0000000000000259.

DOI:10.1097/ANS.0000000000000259
PMID:31299686
Abstract

The Transition Management Model was developed by and for nurse care coordinators at an Independent Health Network to reduce Medicare and Medicaid 30-day readmission rates. Preimplementation assessment revealed the need for a nursing science framework to effectively reduce 30-day readmissions. The model was developed through thoughtful integration of transitions theory with best practice guidelines set forth by Project BOOST. Initial results of the Transition Management Model produced a decline in readmission rates by 11%. The Transition Management Model initiative can serve as an exemplar for the integration of transitions theory to best practice guidelines to effectively reduce 30-day readmissions.

摘要

过渡管理模型是由一家独立健康网络的护理协调员开发并专门为他们设计的,旨在降低医疗保险和医疗补助计划 30 天再入院率。实施前评估显示,需要一个护理科学框架来有效降低 30 天再入院率。该模型是通过深思熟虑地将过渡理论与 Project BOOST 制定的最佳实践指南相结合而开发的。过渡管理模型的初步结果使再入院率下降了 11%。过渡管理模型计划可以作为将过渡理论与最佳实践指南相结合以有效降低 30 天再入院率的典范。

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