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.
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.
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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