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重症监护环境之外的介入性康复

Interventional recovery outside the walls of an intensive care environment.

作者信息

Clark M, Cushman L, Carlson T A

机构信息

St. Luke's Episocopal Hospital, Houston, Texas, USA.

出版信息

Crit Care Nurs Q. 1997 Feb;19(4):42-7.

PMID:9043243
Abstract

St. Luke's Episcopal Hospital in Houston, Texas, created a cardiology collaborative practice team to review patient flow, to develop and implement process redesign, and to evaluate the effectiveness of the redesign project. The team focused on the recovery of interventional patients outside the critical care or intensive care unit environment. In December 1993, the team opened an interventional cardiology recovery unit on a cardiovascular telemetry floor. One thousand forty-five patients were recovered in this unit in the first year. Complication rates did not change significantly for low-risk patients; patient and family satisfaction scores improved, and the cost per case was reduced by $1,746. The success of the pilot project has become the standard for implementing new programs within the cardiology services.

摘要

位于得克萨斯州休斯敦的圣卢克圣公会医院组建了一个心脏病学协作实践团队,以审查患者流程、制定并实施流程重新设计方案,以及评估重新设计项目的成效。该团队专注于在非重症监护或重症监护病房环境下对介入治疗患者的康复护理。1993年12月,该团队在心血管遥测楼层开设了一个介入心脏病学康复单元。第一年,该单元接收了1045名康复患者。低风险患者的并发症发生率没有显著变化;患者及家属满意度得分有所提高,且每例成本降低了1746美元。该试点项目的成功已成为心脏病学服务部门实施新项目的标准。

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