Potentially avoidable emergency department use by patients discharged to skilled nursing facilities.
Potentially avoidable emergency department use by patients discharged to skilled nursing facilities.
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出院到熟练护理机构的患者可能可以避免使用急诊室。
DOI：
10.1002/jhm.13111
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发表时间：
2023
影响因子：
2.6
通讯作者：
Ryskina,Kira
中科院分区：
文献类型：
--
作者：
Tian,Ye;Ayyappan,Vinay;Hemmert,Keith;Myers,Jennifer;Gitelman,Yevgeniy;Ryskina,Kira
三分之一出院后转入专业护理机构 (SNF) 的患者会在 30 天内被送回急诊科 (ED)。对于那些从急诊室出院直接返回 SNF 的患者知之甚少。我们认为这些急诊就诊是可以避免的，因为它们不会导致观察或住院治疗。通过对 2020 年至 2021 年宾夕法尼亚大学卫生系统 (UPHS) 1010 名在出院后 14 天内前往 SNF 就诊的患者进行回顾性图表审查，我们在内科和外科患者中确定了 202 名可能可以避免的急诊就诊患者。这些急诊就诊的最常见原因是机械性跌倒（17.3%）、术后问题（16.8%）以及心脏或肺部疾病（11.4%）。未来减少 SNF 可避免的急诊就诊的干预措施应旨在为 SNF 患者提供及时接受门诊实验室和影像服务以及术后随访的机会。
One‐third of patients discharged from hospitals to skilled nursing facilities (SNF) are sent back to the Emergency Department (ED) within 30 days. Little is known about those patients who are discharged from the ED directly back to SNF. We considered these ED visits as potentially avoidable since they did not result in observation or hospitalization stay. Using a retrospective chart review of 1010 patients with ED visits within 14‐days of discharge to SNF from University of Pennsylvania health system (UPHS) in 2020–2021, we identified 202 patients with potentially avoidable ED visits among medical and surgical patients. The most common reasons for these ED visits were mechanical falls (17.3%), postoperative problems (16.8%), and cardiac or pulmonary complaints (11.4%). Future interventions to decrease avoidable ED visits from SNFs should aim to provide access for SNF patients to receive timely outpatient lab and imaging services and postoperative follow‐ups.
将紧急护理模式应用于熟练护理设施设置
DOI：
10.1016/j.jamda.2022.01.019
发表时间：
2022
影响因子：
7.6
作者：
A. Liggett;Diane Medved;Dwayne C. Dobschuetz;L. Lindquist
通讯作者：
L. Lindquist
影响因子：
2.7
作者：
Brickman, Kristopher R.;Silvestri, Joseph A.
通讯作者：
Silvestri, Joseph A.