首页> 外文期刊>Journal of General Internal Medicine >Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine
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Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine

机译:护理共识政策声明的转变美国医师学院-普通内科医学学会-医院医学学会-美国老年医学会-美国急诊医师学院-学术急诊医学学会

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摘要

The American College of Physicians (ACP), Society of Hospital Medicine (SHM), Society of General Internal Medicine (SGIM), American Geriatric Society (AGS), American College of Emergency Physicians (ACEP) and the Society for Academic Emergency Medicine (SAEM) developed consensus standards to address the quality gaps in the transitions between inpatient and outpatient settings. The following summarized principles were established: 1.) Accountability; 2) Communication; 3.) Timely interchange of information; 4.) Involvement of the patient and family member; 5.) Respect the hub of coordination of care; 6.) All patients and their family/caregivers should have a medical home or coordinating clinician; 7.) At every point of transitions the patient and/or their family/caregivers need to know who is responsible for their care at that point; 9.) National standards; and 10.) Standardized metrics related to these standards in order to lead to quality improvement and accountability. Based on these principles, standards describing necessary components for implementation were developed: coordinating clinicians, care plans/transition record, communication infrastructure, standard communication formats, transition responsibility, timeliness, community standards, and measurement.
机译:美国内科医师学会(ACP),医院医学学会(SHM),普通内科医师学会(SGIM),美国老年医学学会(AGS),美国急诊医师学院(ACEP)和学术急诊医学学会(SAEM) )制定了共识标准,以解决住院和门诊之间转换中的质量差距。建立了以下总结的原则:1.)问责制; 2)沟通; 3.)及时交换信息; 4.)患者和家属的参与; 5.)尊重护理协调中心; 6.)所有患者及其家人/护理人员应有医疗之家或协调的临床医生; 7.)在每个过渡阶段,患者和/或其家人/护理人员都需要知道谁负责该阶段的护理; 9.)国家标准; 10.)与这些标准相关的标准化度量标准,以导致质量改进和问责制。基于这些原则,制定了描述实施必要组成部分的标准:协调临床医生,护理计划/过渡记录,沟通基础设施,标准沟通格式,过渡职责,及时性,社区标准和衡量标准。

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