[A redesign of the acute care chain: evaluation of acute care in Den Helder, The Netherlands].

Autor:	van Goor MA; Amsterdam UMC, afd. Interne Geneeskunde, Amsterdam., Minderhoud TC; UMCU, afd. Interne Geneeskunde, Utrecht., Hengeveld E; Amsterdam UMC, afd. Interne Geneeskunde, Amsterdam., Schouten B; Amsterdam UMC, afd. Interne Geneeskunde, Amsterdam., Kleppe CG; Noordwest ziekenhuis, afd. Intensive Care, Alkmaar., Kremers MNT; Máxima Medisch Centrum, afd. Interne Geneeskunde, Veldhoven., Haak-van der Lely F; Noordwest ziekenhuis, Raad van Bestuur, Alkmaar., Nanayakkara PWB; Amsterdam UMC, afd. Interne Geneeskunde, Amsterdam.; Contact: p.nanayakkara@amsterdamumc.nl.
Jazyk:	Dutch; Flemish
Zdroj:	Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2024 Jul 24; Vol. 168. Date of Electronic Publication: 2024 Jul 24.
Abstrakt:	This study researches the quality of care of the newly redesigned Department of Acute Care (AAZ), at the Noordwest Hospital in Den Helder. It is a multi-methodological study. Quality indicators were descriptively compared with a conventional Emergency Department (ED) at the location in Alkmaar. Moreover, focus groups were held among nurses employed in the AAZ and patient experiences were recorded by the Picker Institute with a validated questionnaire. The study shows that the quality of acute care in the harmonica model of the AAZ achieves comparable results compared to the conventional ED design at Alkmaar. These results imply that it is feasible to provide acute care near the patient, with efficient staffing through a redesign of the acute care chain.
Databáze:	MEDLINE
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