Surgical readmissions: results of integrating pre-, peri- and postsurgical care.
Surgical readmissions: results of integrating pre-, peri- and postsurgical care.
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手术再入院：整合术前、围术期和术后护理的结果。
DOI：
10.1002/nop2.52
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发表时间：
2016
期刊：
影响因子：
2.3
通讯作者：
Francone,Todd
中科院分区：
文献类型：
--
作者：
Noyes,Katia;Baack-Kukreja,Janet;Messing,EdwardM;Schoeniger,Luke;Galka,Eva;Pan,Wei;Xueya,Cai;Fleming,FergalJ;Monson,JohnRt;Mohile,SupriyaG;Francone,Todd
目的探讨肿瘤外科患者的招募和实施由高级实践提供者（APP）领导的外科综合出院（SID）计划的可行性。背景疾病负担和治疗方案的复杂性使肿瘤外科患者参与研究具有挑战性。外科肿瘤科护士可能有必要的专业知识，以克服这个problem.DesignControlled纵向前瞻性observational study.MethodsThe SID方案包括多学科护理协调，APP之间的定期沟通和积极的出院后随访。行政数据库被用来识别匹配的历史对照（n= 113）和评估程序outcomes.ResultsPatient招募率为84%。该方案实施的主要挑战包括不兼容的医疗环境之间的健康信息系统，在医院单位之间的护理过程中的变化和需要供应商的行为changes.ConclusionsMost外科肿瘤患者愿意参加成果方案时，熟悉的临床人员接触，但方案的实施需要领导的支持，护理团队和培训和基础设施之间的沟通。
AimsTo explore the feasibility of recruiting surgical oncology patients and implementing a surgical integrated discharge (SID) programme led by advanced practice providers (APP).BackgroundBurden of illness and complexity of treatment regimen makes it challenging for surgical oncology patients to participate in research. Surgical oncology nurses may have the necessary expertise to overcome this problem.DesignControlled longitudinal prospective observational study.MethodsThe SID programme included multidisciplinary care coordination, regular communication among APPs and proactive postdischarge follow‐up. Administrative databases were used to identify matching historical controls (n= 113) and evaluate programme outcomes.ResultsPatient enrolment was 84%. The main challenges for the programme implementation included incompatible health information systems among care settings, variation in care processes among hospital units and need for provider behaviour change.ConclusionsMost surgical oncology patients are willing to participate in outcomes programmes when contacted by familiar clinical personnel but programme implementation requires leadership support, communication among care teams and training and infrastructure.