Marsall Matthias, Weigl Matthias, Schmiedhofer Martina, Blum Karl, Rösner Hannah, Strametz Reinhard, Gambashidze Nikoloz
Institut für Patientensicherheit (IfPS), Universitätsklinikum Bonn, Venusberg-Campus 1, Gebäude A 02, 53127, Bonn, Deutschland.
Aktionsbündnis Patientensicherheit e. V., Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2024 May;67(5):587-594. doi: 10.1007/s00103-024-03846-0. Epub 2024 Mar 1.
Transitions from inpatient care are associated with risks for the safety of patients. In 2017, the framework agreement on discharge management was legally defined. There is currently a lack of empirical data in Germany on the implementation of measures to ensure safe transitions of patients after inpatient care. The aim of this study is to provide an overview of the discharge management strategies implemented by German general hospitals.
Between March and May 2022, specific discharge management strategies as well as structural and organizational characteristics were assessed in a nationwide survey of 401 general hospitals, and descriptive statistics and group comparisons were performed.
Seven of nine strategies surveyed were implemented in > 95% of all hospitals. The evaluation of discharge planning was only implemented in 61% of the hospitals, and systematic documentation, analysis, and evaluation of readmissions in 54%. Hospitals with a higher number of hospital beds reported significantly less often about "early contact with follow-up care providers" and "organization of a seamless transition to follow-up care."
A large part of the strategies in discharge management from inpatient treatment is implemented in German general hospitals. However, measures for evaluation and the systematic analysis of discharge processes and readmissions of patients have only been partially implemented. However, these are necessary to systematically evaluate and potentially improve the discharge processes.
从住院治疗过渡到院外护理与患者安全风险相关。2017年，出院管理框架协议在法律上得到了明确界定。目前在德国，缺乏关于实施措施以确保患者在住院治疗后安全过渡的实证数据。本研究的目的是概述德国综合医院实施的出院管理策略。
在2022年3月至5月期间，对401家综合医院进行了全国性调查，评估了具体的出院管理策略以及结构和组织特征，并进行了描述性统计和组间比较。
所调查的九项策略中有七项在所有医院中的实施率超过95%。出院计划评估仅在61%的医院中实施，而对再入院情况进行系统记录、分析和评估的医院占54%。病床数量较多的医院报告“与后续护理提供者尽早联系”和“组织无缝过渡到后续护理”的情况明显较少。
德国综合医院实施了住院治疗出院管理策略中的很大一部分。然而，评估措施以及对出院流程和患者再入院情况的系统分析仅得到部分实施。然而，这些对于系统评估和潜在改进出院流程是必要的。
