摘要
目的探讨应用1+3模式提高住院患者计划出院率。方法科内成立1+3质量改进小组,分析出院患者10:00前患者不能离院原因,设计数据采集表,找出根本原因。进而通过提前一天开出明日出院医嘱、领取出院带药、完成出院小结、控制出院日液体量、住院费用日日清、出院当日提前输液、患者离院后及时通知护理员完成终未消毒等措施,提高住院患者的计划出院率。结果通过改进,2016年5月下旬再次对出院患者计划离院数据进行收集,计划出院率达到76%,计划出院患者10:00前离院率达90%。结论应用1+3提高住院患者计划出院率,出院患者可以及时离院,新入院患者可以及时入住病房,提高了入出院患者的满意度。
Objective To explore the application of ＂1＋3 Mode＂ in increasing planned discharge rate. Methods Researchers established 1＋3 Mode Quality Improving Group, and designed data collection tables, to analyze the reasons of patients being not discharged before 10：00 am. They intended to increase planned discharge rate through prescribing discharge medical orders, giving out discharge medication, finishing discharge summary one day before discharge, controlling infusion volume of the day of discharge, clearing hospitalization cost daily, advancing infusion at the day of discharge, and informing nursing assistant to finish terminal disinfection in time after discharge. Results Through those measures, planned discharge rate reached 76%, and the rate of patients discharged before 10：00 am among all planned discharge patients was 90%, showed by discharge data from late May 2016. Conclusions ＂1＋3 Mode＂ increase planned discharge rate, so that discharge patients could leave the hospital in time and new patients could be admitted in time. Therefore, the satisfaction of discharge patients and new patients was increased.
出处
《医院管理论坛》
2017年第4期19-21,共3页
Hospital Management Forum
