九略中山市人民医院咨询九略中山市人民医院咨询Hospital-BasedCaseManagemen.doc

总结:病案管理是管理涉及多领域的治疗活动、以及按病案的类型和诊断相关的特定医院的病人群体的相应资源的一种工具。它平衡治疗的实施与成本以期为病人达到满意的治疗结果,特别是那些不能按常规的处理流程治疗的病人。来源是面临个方面降低成本的压力。
Hospital-Based Case Management: Part I
e Byron Smith, RN, MSN, CCM Debra Ann Danforth, RN, BSN

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The goal of this program is to explain hospital case management and its benefits to professional nurses. After you study the information presented here, you will be able to —
List three goals of case management in acute care hospitals.
Identify mon characteristics of an effective case management system.
Identify two benefits of case management in hospitals.


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Leonard Boyd is admitted directly from the emergency department to a critical care unit with a diagnosis of congestive heart failure (CHF). His nurse immediately initiates the CHF clinical pathway and during the first two days he progresses as expected. However, Mr. Boyd develops plications on the third day. The nurse calls the case manager (CM), who convenes a meeting with the multidisciplinary care team. The team discusses the patient’s current status and expected es, and develops a revised plan of care to deal with this patient’s specific deviations from the usual course of events. During the rest of the hospitalizati