Improved quality of care and reduction of housestaff workload using trauma nurse practitioners.
Improved quality of care and reduction of housestaff workload using trauma nurse practitioners.
复制标题
使用创伤护士从业人员提高护理质量并减少家庭工作人员的工作量。
DOI：
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发表时间：
1989
期刊：
影响因子：
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通讯作者：
J. Holcroft
中科院分区：
文献类型：
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作者：
J. Spisso;C. O'Callaghan;M. McKennan;J. Holcroft
加州大学戴维斯分校医学中心在1986-87财政年度将护士从业者(NPs)引入创伤服务，以减轻外科管家工作人员在试图适应不断增长的病人数量和敏锐度时日益增加的负担。使用NPS与严重受伤患者的平均住院时间从8.10天减少到7.05天有关，而其他患者的住院时间保持不变。医疗记录中的护理质量记录大幅增加。例如，在至少95%的抽样记录中，由NPS口述的出院摘要被认为在所有方面都是完整的，而由居民口述的记录中，这一比例约为75%。在引入非政府机构后，门诊轮候时间由41分钟缩短至19分钟。患者对创伤团队的投诉从每年16起减少到7起。在非政府人员当值期间，家务助理平均每天节省352分钟的时间。医院护士、医院质量保证人员和辅助服务人员对NPS反应良好。事实证明，它们对患者、患者家属、医院和创伤团队都有很大的价值。
The University of California, Davis, Medical Center introduced the use of nurse practitioners (NPs) to the trauma service in fiscal year 1986-87 to alleviate the increasing burdens placed on the surgical housestaff in their attempt to accommodate the rising patient volume and acuity. The use of NPs was associated with a decrease in average length of stay for the seriously injured patients from 8.10 to 7.05 days while the length of stay for other patients in the hospital remained unchanged. Documentation of quality of care in the medical record increased substantially. For example, discharge summaries that were dictated by the NPs were judged complete in all aspects in at least 95% of sampled records compared with approximately 75% of records that were dictated by the residents. With introduction of the NPs, outpatient clinic waiting times decreased from 41 to 19 minutes. Patient complaints regarding the trauma team decreased from 16 to seven/year. Time saved for the housestaff averaged 352 minutes/day while the NPs were on duty. The NPs were well received by the hospital nurses, hospital quality assurance personnel, and ancillary services. They have proved to be of great value to the patients, the patients' families, the hospital, and the trauma team.