Van Buskirk M C, Vanderbilt D
Department of Cardiology, Western Pennsylvania Hospital, Pittsburgh, USA.
J Nurs Care Qual. 1995 Apr;9(3):59-68. doi: 10.1097/00001786-199504000-00009.
The 1990s have seen major changes in the health care delivery system. One of the more useful ones has been the CareMap, an interdisciplinary tool for managing, evaluating and improving patient care. The article discusses the use of a diabetic ketoacidosis CareMap in the medical intensive care unit in a large community hospital. The impact of the CareMap on cost containment and use of resources is also addressed. Although the CareMap represents only one of the many changes that have evolved in the past several years, it is certain to have a critical effect on patient care quality because it combines a variety of disciplines and identifies problem issues that encourage a collaborative approach to patient care.
20世纪90年代，医疗保健服务体系发生了重大变化。其中一项较为有用的变化是护理流程图，它是一种用于管理、评估和改善患者护理的跨学科工具。本文讨论了在一家大型社区医院的医疗重症监护病房中使用糖尿病酮症酸中毒护理流程图的情况。还探讨了护理流程图对成本控制和资源利用的影响。尽管护理流程图只是过去几年中出现的众多变化之一，但它肯定会对患者护理质量产生关键影响，因为它整合了多个学科，并识别出鼓励采用协作方式进行患者护理的问题。
