异常或移交:普通医学住院患者的结果。

IF 1.4 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Australian Health Review Pub Date : 2023-10-01 DOI:10.1071/AH22242
S Thompkins, S Schaefer, D Toh, C Horwood, C H Thompson
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引用次数: 0

摘要

目的从急诊科入院的患者可能被安置在治疗团队的“家庭病房”。如果没有床位,患者可能会被送往另一个病房,在那里他们可能会作为“异类”留在入院团队之下。相反,护理可能会移交给他们所在家庭病房的团队。我们进行了一项回顾性分析,以了解异常状态和护理交接对普通医学住院患者结果的影响。方法分析2020年9月至2021年11月期间皇家阿德莱德医院的全科医学入院情况。我们检查了医院获得性并发症的发生率、住院死亡率、48岁以内的死亡率 入院时间、相对住院指数、出院时间和28天内不良事件发生率 出院天数。结果共分析了3109例入院病例。24小时内移交 入院时间h与住院时间较长有关。28天内不良事件发生率呈上升趋势 出院天数和护理交接。异常值状态不影响任何结果测量。结论前24小时内移交 入院时间h与住院时间长于预期有关。
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Outlier or handover: outcomes for General Medicine inpatients.

Objective Patients admitted from the emergency department may be co-located on the treating team's 'home ward'. If no bed is available, patients may be sent to another ward, where they may remain under the admitting team as an 'outlier'. Conversely, care may be handed over to the team on whose home ward they are located. We conducted a retrospective analysis to understand the impact of outlier status and handovers of care on outcomes for General Medicine inpatients. Methods General Medicine admissions at the Royal Adelaide Hospital between September 2020 and November 2021 were analysed. We examined the rate of hospital-acquired complications, inpatient mortality rate, mortality within 48 h of admission, Relative Stay Index, time of discharge from hospital and rate of adverse events within 28 days of discharge. Results A total of 3109 admissions were analysed. Handovers within 24 h of admission were associated with a longer length of stay. There was a trend towards higher rates of adverse events within 28 days of discharge with handovers of care. Outlier status did not affect any outcome measures. Conclusions Handovers within the first 24 h of admission are associated with longer than expected length of stay.

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来源期刊
Australian Health Review
Australian Health Review 医学-卫生保健
CiteScore
2.90
自引率
5.60%
发文量
134
审稿时长
6-12 weeks
期刊介绍: Australian Health Review is an international, peer-reviewed journal that publishes contributions on all aspects of health policy, management and governance; healthcare delivery systems; workforce; health financing; and other matters of interest to those working in health care. In addition to analyses and commentary, the journal publishes original research from practitioners – managers and clinicians – and reports of breakthrough projects that demonstrate better ways of delivering care. Australian Health Review explores major national and international health issues and questions, enabling health professionals to keep their fingers on the pulse of the nation’s health decisions and to know what the most influential commentators and decision makers are thinking. Australian Health Review is a valuable resource for managers, policy makers and clinical staff in health organisations, including government departments, hospitals, community centres and aged-care facilities, as well as anyone with an interest in the health industry. Australian Health Review is published by CSIRO Publishing on behalf of the Australian Healthcare and Hospitals Association.
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