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英格兰西南部一家地区综合医院使用虚拟骨折诊所模式 4 年后的服务评估。

A Service Evaluation after 4 year's use of the Virtual Fracture Clinic model by a District General Hospital in the South West of England.

机构信息

Trauma and Orthopaedic Department, Great Western Hospitals NHS Trust, Marlborought Road, Swindon SN3 6BB, United Kingdom.

出版信息

Int J Orthop Trauma Nurs. 2021 Apr;41:100798. doi: 10.1016/j.ijotn.2020.100798. Epub 2020 Jul 30.

Abstract

INTRODUCTION

A Virtual fracture clinic (VFC) was set up in 2015. An initial patient satisfaction survey demonstrated satisfaction with the service. The purpose of this service evaluation was to re-evaluate the VFC by reporting on patient satisfaction. A small audit was undertaken alongside to examine the time taken from ED presentation to VFC review against the British Orthopaedic Association Society for Trauma (BOAST) guidelines of 72 h.

PATIENTS AND METHODS

All patients discharged from VFC in August 2019 were eligible to take part in the patient satisfaction survey. The Electronic Patients Records System (EPRS) was used to generate data regarding time of review and patient return for follow up appointments.

RESULTS

The results demonstrated that 88% of patients would recommend the service to friends. More than 80% of patients were satisfied with various elements of the service and 80% of patients are seen within the target time of 72 h.

CONCLUSIONS

Patients continue to be satisfied with the VFC. There seems to be a greater acceptance of not being reviewed by a doctor. In general, patients were seen within 72 h of ED presentation but more work is needed to streamline the process of tertiary referrals.

摘要

简介

虚拟骨折门诊(VFC)于 2015 年设立。最初的患者满意度调查显示,患者对该服务满意。本次服务评估的目的是通过报告患者满意度来重新评估 VFC。同时进行了一项小型审计,以检查从 ED 就诊到 VFC 复查的时间是否符合英国矫形协会创伤学会(BOAST)72 小时的指南。

患者和方法

所有于 2019 年 8 月从 VFC 出院的患者均有资格参加患者满意度调查。电子患者记录系统(EPRS)用于生成有关审查时间和患者返回进行随访预约的数据。

结果

结果表明,88%的患者会向朋友推荐该服务。超过 80%的患者对服务的各个方面感到满意,80%的患者在 72 小时的目标时间内得到了治疗。

结论

患者对 VFC 仍然满意。似乎越来越多的人接受不接受医生的检查。一般来说,患者在 ED 就诊后 72 小时内得到了治疗,但需要进一步努力简化三级转诊的流程。

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