评估出院协调员及其对出院效率和准备情况的影响。
Evaluation of Discharge Coordinators and Their Effect on Discharge Efficiency and Preparedness.
出版信息
J Pediatr Health Care. 2020 Sep-Oct;34(5):435-441. doi: 10.1016/j.pedhc.2020.04.008. Epub 2020 Jun 25.
INTRODUCTION
A discharge coordinator role was evaluated to determine if it resulted in more discharges before noon, decreased length of stay, and prepared families for self-care at home.
METHOD
This evaluation took place at a pediatric cardiac care unit. Discharges before noon, reasons for delays, and length of stay were analyzed before and after the discharge coordinator role. Parental knowledge assessments were completed a week after discharge. A nursing survey measured satisfaction with the patient discharge process.
RESULTS
Rates of discharge before noon increased (31.68% vs. 44.39%) and length of stay decreased (97.16 vs. 85.24 hr) with a discharge coordinator. Parental knowledge assessment revealed fewer deficits, and nurses were satisfied.
DISCUSSION
A dedicated person to coordinate patient discharge needs can improve discharge efficiency and increase the likelihood of successful self-care at home. Further evaluation is needed to determine how this role impacts readmission.
简介
评估了出院协调员的角色，以确定其是否能增加中午前出院的人数、缩短住院时间并使患者家庭为在家中进行自我护理做好准备。
方法
该评估在儿科心脏护理病房进行。在设立出院协调员前后，分析了中午前出院的人数、延迟的原因和住院时间。在出院后一周完成了家长知识评估。一项护理调查测量了对患者出院过程的满意度。
结果
有了出院协调员，中午前出院的比例增加（31.68% vs. 44.39%），住院时间缩短（97.16 小时 vs. 85.24 小时）。家长知识评估显示，缺陷较少，护士也很满意。
讨论
专门的人员来协调患者出院需求可以提高出院效率，并增加在家中成功进行自我护理的可能性。需要进一步评估该角色如何影响再入院率。
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