Hernández-Vidal Núria, Pujol-Vidal Marta, Mengíbar-García Yolanda, Ayala-Villuendas David, Contel-Segura Joan-Carlos, Martínez-Torres Sara, Bordas Anna, Oriol-Colominas Eulalia, Martín-Vergara Nuria, Martín-Lujan Francisco, Astier-Peña Maria-Pilar, Gens-Barberà Montserrat
Quality and Patient Safety Central Functional Unit, Gerència d'Atenció Primària Camp de Tarragona, Institut Català de la Salut, 43005 Tarragona, Spain.
QiSP-Tar Research Group, Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut-IDIAPJGol, 08007 Barcelona, Spain.
Healthcare (Basel). 2025 Mar 13;13(6):626. doi: 10.3390/healthcare13060626.
Home care programs in primary healthcare aim to address the health needs of elderly and frail populations, but ensuring safety in home environments can be challenging due to factors like limited supervision, environmental hazards, and the complexity of managing multiple health conditions. Fragmented information further complicates healthcare professionals' ability to identify critical health risks and manage them effectively. This study aims to design and evaluate the effectiveness of a visual map integrated into the electronic medical record of home care patients. The goal will be to implement this tool and enhance healthcare professionals' interventions, improving patient safety and quality of life. The study will be conducted in three phases: (1) the design of a visual map for the home care program by identifying health areas and contributing factors; (2) a cluster-randomized clinical trial across primary care centers to assess whether the visual map reduces hospital admissions, falls, and injuries while improving quality of life; and (3) a qualitative study to evaluate the impact of the visual map on the home care program. It is anticipated that the visual map will reduce hospital admissions, falls, and injuries among home care patients while improving quality of life by facilitating targeted and effective professional interventions. This visual map aims to enhance the safety of vulnerable home care patients by integrating critical health information into a practical, easy-to-implement tool. Its feasibility and potential for integration into routine primary care within the Catalan Institute of Health make it a valuable innovation with broader applicability. Trial registration: NCT04399616. Registered on 8 May 2024.
初级医疗保健中的家庭护理项目旨在满足老年人和体弱人群的健康需求，但由于监督有限、环境危害以及管理多种健康状况的复杂性等因素，确保家庭环境中的安全可能具有挑战性。信息碎片化进一步使医疗保健专业人员难以识别关键健康风险并有效管理这些风险。本研究旨在设计并评估一种整合到家庭护理患者电子病历中的可视化地图的有效性。目标是实施该工具并加强医疗保健专业人员的干预措施，提高患者安全性和生活质量。该研究将分三个阶段进行：（1）通过确定健康领域和影响因素，为家庭护理项目设计可视化地图；（2）在初级保健中心进行整群随机临床试验，以评估可视化地图是否能减少住院、跌倒和伤害，同时提高生活质量；（3）进行定性研究，以评估可视化地图对家庭护理项目的影响。预计该可视化地图将减少家庭护理患者的住院、跌倒和伤害，同时通过促进有针对性的有效专业干预提高生活质量。这种可视化地图旨在通过将关键健康信息整合到一个实用、易于实施的工具中，提高弱势家庭护理患者的安全性。其在加泰罗尼亚卫生研究所纳入常规初级保健的可行性和潜力使其成为一项具有更广泛适用性的宝贵创新。试验注册：NCT04399616。于2024年5月8日注册。
