Identifying Challenges Associated With the Care Transition Workflow From Hospital to Skilled Home Health Care: Perspectives of Home Health Care Agency Providers.
Identifying Challenges Associated With the Care Transition Workflow From Hospital to Skilled Home Health Care: Perspectives of Home Health Care Agency Providers.
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DOI：
10.1080/01621424.2015.1092908
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发表时间：
2015-01-01
影响因子：
1.4
通讯作者：
Arbaje, Alicia I
中科院分区：
文献类型：
--
作者：
Nasarwanji, Mahiyar;Werner, Nicole E;Arbaje, Alicia I
从医院出院到熟练的家庭医疗保健（SHHC）的老年人面临着经历次优过渡的高风险。使用阴影和上下文查询的人为因素方法，我们研究了从医院到SHHC的老年人过渡的工作流程。我们创建了医院到SHHC过渡工作流程的代表性图表，我们检查了潜在的工作流程变化，我们对工作流程挑战进行了分类，我们确定了为管理变化和挑战而开发的工件。我们确定了最佳护理过渡的三个首要挑战-信息获取、协调和沟通/团队合作。未来的调查可以测试是否重新设计从医院到SHHC的过渡，根据我们的研究结果，提高工作流程和护理质量。
Older adults discharged from the hospital to skilled home health care (SHHC) are at high risk for experiencing suboptimal transitions. Using the human factors approach of shadowing and contextual inquiry, we studied the workflow for transitioning older adults from the hospital to SHHC. We created a representative diagram of the hospital to SHHC transition workflow, we examined potential workflow variations, we categorized workflow challenges, and we identified artifacts developed to manage variations and challenges. We identified three overarching challenges to optimal care transitions-information access, coordination, and communication/teamwork. Future investigations could test whether redesigning the transition from hospital to SHHC, based on our findings, improves workflow and care quality.