AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ record(1888) medic(1808) patient(1693) }
{ patient(2837) hospit(1953) medic(668) }
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{ decis(3086) make(1611) patient(1517) }
{ system(1050) medic(1026) inform(1018) }
{ drug(1928) target(777) effect(648) }
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{ visual(1396) interact(850) tool(830) }
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{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
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{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

Patient- and Family-Centered Care (PFCC) is essential for high quality care in the critical and acute-specialty care hospital setting. Effective PFCC requires clinicians to form an integrated interprofessional team to collaboratively engage with the patient/family and contribute to a shared patient-centered plan of care. We conducted observations on a critical care and specialty unit to understand the plan of care activities and workflow documentation requirements for nurses and physicians to inform the development of a shared patient-centered plan of care to support patient engagement. We identified siloed plan of care documentation, with workflow opportunities to converge the nurses plan of care with the physician planned To-do lists and quality and safety checklists. Integration of nurses and physicians plan of care activities into a shared plan of care is a feasible and valuable step toward interprofessional teams that effectively engage patients in plan of care activities.

Resumo Limpo

patient familycent care pfcc essenti high qualiti care critic acutespecialti care hospit set effect pfcc requir clinician form integr interprofession team collabor engag patientfamili contribut share patientcent plan care conduct observ critic care specialti unit understand plan care activ workflow document requir nurs physician inform develop share patientcent plan care support patient engag identifi silo plan care document workflow opportun converg nurs plan care physician plan todo list qualiti safeti checklist integr nurs physician plan care activ share plan care feasibl valuabl step toward interprofession team effect engag patient plan care activ

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