...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMJ quality & safety >Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study
【24h】

Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study

机译：信息管理目标和流程故障在家庭访问期间，在医院出院后接受熟练家庭医疗服务的中年和老年人：多路，定性研究

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Middle-aged and older adults requiring skilled home healthcare ('home health') services following hospital discharge are at high risk of experiencing suboptimal outcomes. Information management (IM) needed to organise and communicate care plans is critical to ensure safety. Little is known about IM during this transition. Objectives (1) Describe the current IM process (activity goals, subactivities, information required, information sources/targets and modes of communication) from home health providers' perspectives and (2) Identify IM-related process failures. Methods Multisite qualitative study. We performed semistructured interviews and direct observations with 33 home health administrative staff, 46 home health providers, 60 middle-aged and older adults, and 40 informal caregivers during the preadmission process and initial home visit. Data were analysed to generate themes and information flow diagrams. Results We identified four IM goals during the preadmission process: prepare referral document and inform agency; verify insurance; contact adult and review case to schedule visit. We identified four IM goals during the initial home visit: assess appropriateness and obtain consent; manage expectations; ensure safety and develop contingency plans. We identified IM-related process failures associated with each goal: home health providers and adults with too much information (information overload); home health providers without complete information (information underload); home health coordinators needing information from many places (information scatter); adults' and informal caregivers' mismatched expectations regarding home health services (information conflict) and home health providers encountering inaccurate information (erroneous information). Conclusions IM for hospital-to-home health transitions is complex, yet key for patient safety. Organisational infrastructure is needed to support IM. Future clinical workflows and health information technology should be designed to mitigate IM-related process failures to facilitate safer hospital-to-home health transitions.
机译：在医院出院后，需要熟练的家庭医疗保健（“家庭健康”）服务的中年和老年人的较高风险是经历次优的结果。组织和沟通护理计划所需的信息管理（IM）对于确保安全至关重要。在这种转变期间，我对IM知之甚少。目标（1）描述来自家庭健康提供者的观点的当前IM进程（活动目标，辅助活动，信息所需信息，信息源/目标和通信模式）和（2）识别IM相关的过程故障。方法多路定性研究。我们对33家家庭健康行政人员，46名家庭健康供应商，60名中年和老年人的直接观察进行了直接观察，并在预示程序和初次入住期间的40名中年和老年人。分析数据以生成主题和信息流程图。结果我们在预征加工过程中确定了四个IM目标：准备转介文件和通知机构;验证保险;联系成人和审查案例安排访问。我们在初次入住期间确定了四个IM目标：评估适当性并获得同意;管理期望;确保安全和发展应急计划。我们确定了与每个目标相关的相关过程失败：家庭健康提供者和具有太多信息（信息过载）的成年人;没有完整信息的家庭健康提供者（信息欠款）;家庭健康协调员需要来自许多地方的信息（信息分散）;成人和非正式的护理人员对遇到不准确信息（错误信息）的家庭健康服务（信息冲突）和家庭健康提供者的不匹配期望。结论IM为医院到家庭健康过渡是复杂的，但患者安全的关键是备受瞩目的关键。支持IM需要组织基础架构。未来的临床工作流程和健康信息技术应旨在减轻与电视相关的过程故障，以促进更安全的医院与家庭健康过渡。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号