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全国范围内基于经验的设计反馈数据的分析。

Analysis of the Experience-Based Design Feedback Data on a National Scale.

作者信息

Rahman Sakib, Thompson Deborah, Clayton Alice, Conroy Simon, Tite Matt

机构信息

Joondalup Health Campus, Putney, London, United Kingdom.

Acute Frailty Network, London, United Kingdom.

出版信息

J Patient Exp. 2020 Dec;7(6):1068-1076. doi: 10.1177/2374373520969253. Epub 2020 Nov 11.

DOI:10.1177/2374373520969253
PMID:33457547
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7786651/
Abstract

The United Kingdom Office of National Statistics population estimates that 10 million people are aged 65 years and older, of which some would be considered frail. This is conceptualized as a complex progressive loss of physiological and social function. In order to establish and evaluate appropriate services, feedback tools designed for this patient group have begun to take greater importance, which the Acute Frailty Network has been developing using experience-based design. These tools focus on the experience of frail patients in the settings of accident and emergency and the acute medical unit. An analysis of data from 12 hospitals was used to look at the common emotions and comments expressed at the key touchpoints. A total of 609 respondents were used in the analysis, revealing that patients expressed mostly positive experiences. The areas with the most negative emotions and comments were in the domains "being admitted," "first assessment," and "preparing to leave hospital." We would recommend that future quality improvement projects focus in improving the communication standards around the admission and discharge process.

摘要

英国国家统计局的人口估计显示,有1000万人年龄在65岁及以上,其中一些人会被认为身体虚弱。这被概念化为生理和社会功能的复杂渐进性丧失。为了建立和评估适当的服务,为该患者群体设计的反馈工具开始变得更加重要,急性虚弱网络一直在利用基于经验的设计来开发这些工具。这些工具关注虚弱患者在急诊和急性医疗单元环境中的体验。对12家医院的数据进行分析,以查看在关键接触点表达的常见情绪和评论。分析共使用了609名受访者,结果显示患者大多表达了积极的体验。负面情绪和评论最多的领域是“入院”、“初次评估”和“准备出院”。我们建议未来的质量改进项目应专注于提高入院和出院过程中的沟通标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/785281cf4cab/10.1177_2374373520969253-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/2927d3acdf64/10.1177_2374373520969253-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/3164e4612708/10.1177_2374373520969253-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/cb11d3e6debc/10.1177_2374373520969253-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/d5e0dd67f538/10.1177_2374373520969253-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/d35a7622ea44/10.1177_2374373520969253-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/1a30be729c50/10.1177_2374373520969253-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/1e74b49743d7/10.1177_2374373520969253-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/785281cf4cab/10.1177_2374373520969253-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/2927d3acdf64/10.1177_2374373520969253-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/3164e4612708/10.1177_2374373520969253-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/cb11d3e6debc/10.1177_2374373520969253-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/d5e0dd67f538/10.1177_2374373520969253-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/d35a7622ea44/10.1177_2374373520969253-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/1a30be729c50/10.1177_2374373520969253-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/1e74b49743d7/10.1177_2374373520969253-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c248/7786651/785281cf4cab/10.1177_2374373520969253-fig8.jpg

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Elderly patients' experiences of care received in the emergency department: a systematic review.老年患者在急诊科接受护理的体验:一项系统综述。
JBI Libr Syst Rev. 2012;10(23):1363-1409. doi: 10.11124/01938924-201210230-00001.
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New horizons: urgent care for older people with frailty.新视野:对体弱老年人的紧急护理。
Age Ageing. 2016 Sep;45(5):577-84. doi: 10.1093/ageing/afw135. Epub 2016 Aug 1.
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Quantifying the prevalence of frailty in English hospitals.量化英国医院中虚弱的患病率。
BMJ Open. 2015 Oct 21;5(10):e008456. doi: 10.1136/bmjopen-2015-008456.
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A comparison of the quality of care in accident and emergency departments in England and the Netherlands as experienced by patients.患者对英格兰和荷兰急诊部门护理质量的体验比较。
Health Expect. 2016 Jun;19(3):773-84. doi: 10.1111/hex.12282. Epub 2014 Oct 9.
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Adverse outcomes of frailty in the elderly: the Rotterdam Study.老年人衰弱的不良后果:鹿特丹研究。
Eur J Epidemiol. 2014 Jun;29(6):419-27. doi: 10.1007/s10654-014-9924-1. Epub 2014 Jun 17.
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