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评估一项由高级实践提供者管理的2019冠状病毒病病情恶化管理计划。

Evaluating an Advanced Practice Provider-Managed Coronavirus Disease 2019 Deterioration Program.

作者信息

Kottler Janey, Khosla Shaveta, Recio Vicki, Chestek David, Shanks Jacqueline, Larimer Karen, Hoek Terry Vanden

机构信息

University of Illinois Hospital and Health Sciences, Emergency Department, 1740 W Taylor Street, Chicago, IL 60612.

University of Illinois Chicago College of Nursing, 845 S. Damen Avenue, Chicago, IL 60612.

出版信息

J Nurse Pract. 2023 Oct;19(9). doi: 10.1016/j.nurpra.2023.104754. Epub 2023 Sep 4.

DOI:10.1016/j.nurpra.2023.104754
PMID:37693741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10486239/
Abstract

BACKGROUND

COVID-19 changed how healthcare systems could provide quality healthcare to patients, safely. An urban healthcare system created an advanced practice provider (APP)-managed continuous remote patient monitoring (cRPM) program.

METHODS

A mixed-method study design focusing on the usable and feasible nature of the cRPM program. Both APP-guided interviews and online questionnaires were analyzed.

RESULTS

There was overwhelmingly positive APP feedback utilizing the remote monitoring solution including providing quality healthcare, detecting early clinical deterioration, and desiring to adapt the solution to other acute or chronic diseases.

IMPLICATIONS

Understanding the clinical users' feedback on usability and feasibility of cRPM highlights the significance of rapid clinical assessment, urgent care escalation and provider accessibility.

摘要

背景

2019年冠状病毒病(COVID-19)改变了医疗系统向患者安全提供优质医疗服务的方式。一个城市医疗系统创建了一个由高级实践提供者(APP)管理的持续远程患者监测(cRPM)项目。

方法

采用混合方法研究设计,重点关注cRPM项目的可用性和可行性。对APP指导的访谈和在线问卷进行了分析。

结果

APP对远程监测解决方案的反馈绝大多数是积极的,包括提供优质医疗服务、检测早期临床恶化情况,以及希望将该解决方案应用于其他急性或慢性疾病。

启示

了解临床用户对cRPM可用性和可行性的反馈突出了快速临床评估、紧急护理升级和提供者可达性的重要性。

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本文引用的文献

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Healthcare Professional Perspectives on the Use of Remote Patient-Monitoring Platforms during the COVID-19 Pandemic: A Cross-Sectional Study.医疗保健专业人员对COVID-19大流行期间远程患者监测平台使用情况的看法:一项横断面研究。
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A prospective observational real world feasibility study assessing the role of app-based remote patient monitoring in reducing primary care clinician workload during the COVID pandemic.一项前瞻性观察性真实世界可行性研究,评估基于应用程序的远程患者监测在 COVID 大流行期间减少初级保健临床医生工作量的作用。
BMC Fam Pract. 2021 Dec 16;22(1):248. doi: 10.1186/s12875-021-01594-7.
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Remote Patient Monitoring Program for COVID-19 Patients Following Hospital Discharge: A Cross-Sectional Study.新冠出院患者远程患者监测项目:一项横断面研究
Front Digit Health. 2021 Nov 8;3:721044. doi: 10.3389/fdgth.2021.721044. eCollection 2021.
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Wearable sensor derived decompensation index for continuous remote monitoring of COVID-19 diagnosed patients.用于对新冠肺炎确诊患者进行连续远程监测的可穿戴传感器衍生失代偿指数
NPJ Digit Med. 2021 Nov 8;4(1):155. doi: 10.1038/s41746-021-00527-z.
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Utility and usability of an automated COVID-19 symptom monitoring system (CoSMoS) in primary care during COVID-19 pandemic: A qualitative feasibility study.在 COVID-19 大流行期间,初级保健中 COVID-19 症状监测系统(CoSMoS)的实用性和可用性:一项定性可行性研究。
Int J Med Inform. 2021 Nov;155:104567. doi: 10.1016/j.ijmedinf.2021.104567. Epub 2021 Sep 6.
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Cross Sectional E-Health Evaluation Study for Telemedicine and M-Health Approaches in Monitoring COVID-19 Patients with Chronic Obstructive Pulmonary Disease (COPD).横断面电子健康评估研究:远程医疗和移动医疗在监测 COVID-19 合并慢性阻塞性肺疾病(COPD)患者中的应用。
Int J Environ Res Public Health. 2021 Aug 12;18(16):8513. doi: 10.3390/ijerph18168513.
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Personalized Analytics and a Wearable Biosensor Platform for Early Detection of COVID-19 Decompensation (DeCODe): Protocol for the Development of the COVID-19 Decompensation Index.用于早期检测新冠病毒失代偿(DeCODe)的个性化分析与可穿戴生物传感器平台:新冠病毒失代偿指数开发方案
JMIR Res Protoc. 2021 May 26;10(5):e27271. doi: 10.2196/27271.
8
Remote Patient Monitoring Program for Hospital Discharged COVID-19 Patients.远程新冠肺炎出院患者监测项目。
Appl Clin Inform. 2020 Oct;11(5):792-801. doi: 10.1055/s-0040-1721039. Epub 2020 Nov 25.
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Adoption of Digital Technologies in Health Care During the COVID-19 Pandemic: Systematic Review of Early Scientific Literature.新冠疫情期间医疗保健领域数字技术的应用:早期科学文献的系统综述
J Med Internet Res. 2020 Nov 6;22(11):e22280. doi: 10.2196/22280.
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COVID 19: An unprecedented opportunity for nurse practitioners to reform healthcare and advocate for permanent full practice authority.新冠疫情:执业护士改革医疗保健并倡导永久全面执业权的前所未有的机遇。
Nurs Forum. 2021 Jan;56(1):222-227. doi: 10.1111/nuf.12515. Epub 2020 Oct 12.