Early Identification and Referral of Patients With Diabetic Foot Complications in the Emergency Department.

IF 1.2 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2025-04-01 Epub Date: 2025-01-28 DOI:10.1097/NCQ.0000000000000806

AnChi Liu, Eleanor Stevenson, Michael Menchine, Sheila Mallett, Christina Castillo

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引用次数: 0

Abstract

Background: Prolonged length of stay (LOS) in the emergency department (ED) and lack of post-ED follow-up pose a risk of worsening infection and amputation among patients with diabetic foot complications.

Local problem: Excessive ED LOS posed a risk of delayed foot care, and triage providers underutilized post-ED telehealth referrals.

Interventions: A graphic icon on the ED dashboard, nurse-initiated order set, and staff education were implemented.

Methods: A pre-/postimplementation design was used. Outcomes included usage of the graphic icon and order set, ED LOS, and telehealth referrals.

Results: Use of the graphic icon and order sets significantly increased ( P < .001). The rate of telehealth referrals upon discharge also increased but was not significant ( P = .086). Interestingly, LOS increased after the intervention.

Conclusion: Using the graphic icon and order set can streamline patient referral to telehealth care. Various factors lead to an extended LOS.

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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.