Implementation and Feasibility of the Re-Engineered Discharge for Surgery (RED-S) Intervention: A Pilot Study.
Implementation and Feasibility of the Re-Engineered Discharge for Surgery (RED-S) Intervention: A Pilot Study.
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重新设计的手术出院 (RED-S) 干预措施的实施和可行性：试点研究。
DOI：
10.1097/jhq.0000000000000266
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Naik,AanandD
中科院分区：
文献类型：
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作者：
Du,RebeccaY;Shelton,George;Ledet,CeliaR;Mills,WhitneyL;Neal-Herman,Levi;Horstman,Molly;Trautner,Barbara;Awad,Samir;Berger,David;Naik,AanandD
方法：2014年7月至2015年1月期间，我们对退伍军人管理局地区三级护理中心入院接受结肠切除术的患者进行了一项试点研究，以适应和实施Project RED。实施情况进行了评估，使用坚持干预组件和结果的医疗保健经验的患者调查。适应项目RED手术有五个组成部分：手术伤口/造口护理教育，预定的后续任命，药物和解，后医院护理计划，和postdischarge phone calls.Results：所有（n= 21）参与者接受术后伤口护理教育，77%的造口患者接受教育。76%的患者在外科诊所和67%的患者在初级保健中心安排了随访。一半接受药剂师领导的药物核对。75%的人在出院后接到了电话。95%的参与者报告了积极或令人满意的护理过渡，而来自同一机构的手术患者的对照组中不到60%。我们总结了从这项干预研究中吸取的经验教训，以促进未来的传播effortes.Conclusion：从这个试点中吸取的经验教训可以指导质量改进团队寻求在现有的工作流程中实施重新设计的出院手术干预。
Methods:We conducted a pilot study for the adaptation and implementation of Project RED with patients admitted for colectomy at a regional VA tertiary care center between July 2014 and January 2015. Implementation was evaluated using adherence to intervention components and results from the Survey of Healthcare Experiences of Patients. The adapted Project RED for Surgery has five components: surgical wound/ostomy-care education, scheduled follow-up appointments, medication reconciliation, an After Hospital Care Plan, and postdischarge phone calls.Results:All (n= 21) participants received postoperative wound care education, and 77% of ostomy patients received education. Follow-up appointments were scheduled for 76% with surgery clinic and 67% with primary care. Half received pharmacist-led medication reconciliation. Seventy-five percent received a postdischarge phone call. Ninety five percent of participants reported positive or satisfactory care transitions versus less than 60% of a comparison group of surgery patients from the same institution. We summarized lessons learned from this intervention study to facilitate future dissemination efforts.Conclusion:The lessons learned from this pilot can guide quality improvement teams seeking to implement the Re-Engineered Discharge for Surgery intervention within their existing workflows.