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ED CONNECT:连接急诊科和门诊护理——来自南方的经验教训.pdf

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1、Offered for Oral Presentation towardsDiverse Strategies for Engagement9.16.2025 2:15-3:15pmGeneral Session RoomPresenters:Piper Duarte,MPH;Performance Improvement Analyst&Jonathan Gute,Grants&Research Program ManagerParkland HealthDallas,Texas ED CONNECT:Bridging ED to Outpatient Care Lessons From t

2、he South,ID:46September 15-17,2025Embedding dedicated HIV staff in the Emergency Department setting is critical to improving linkage to outpatient care for vulnerable populations Main Takeaway:September 15-17,2025Background|OpportunityRapid notification and linkage from emergency departments(ED)to o

3、utpatient care remains complex for many in Texas(1).Anchored to an urban safety net hospital,providing care to over 6000 individuals in the Dallas Eligible Metropolitan Area,Parkland HIV Services joined the Dallas EMA and State 2023 challenge to increase rapid linkage for those concurrently diagnose

4、d with HIV and a bacterial STI(Syphilis,Gonorrhea,Chlamydia).Over 300 ED visits per month are among people living with HIV.Routine ED HIV screening identifies 200 new diagnoses of HIV per year.26282532271625241411 11122112 1211121120222123322712 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM1

5、1 AM12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM11 PMNumber of Abnormal HIV Tests by Resulted Time(n=475)1/1/22-12/31/22Baseline hours 8am-5pm covered by dedicated staffLocal Problem Parkland Baseline:27%of abnormal test results could be covered in real time by staffed hours and 38%of cl

6、ients with both HIV and STI dual dx were linked to care 7 days March 1,2023-May 31,2023*.PHSD had not previously reviewed concurrent dx and was previously working to link clients newly dx with HIV 30 days.*Denominator:All people older than 18 with both a positive HIV and bacterial STI in last quarte

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根据《》标记中的内容,全文主要内容概括如下: - **背景与挑战**:在德克萨斯州,从急诊部门(ED)到门诊护理的快速连接对于许多患者来说仍然复杂。Parkland HIV服务与达拉斯EMA和州政府合作,旨在提高同时被诊断出HIV和细菌性STI(梅毒、淋病、衣原体)的人的快速连接率。 - **核心数据**: - 每月有300多次ED访问涉及HIV感染者。 - 常规ED HIV筛查每年识别约200例新诊断的HIV。 - **解决方案**:Parkland推出了ED Connect项目,通过增加团队成员、扩展工作时间、提供明确的联系点和标准化数据收集来改善连接。 - **结果**: - 平均新诊断HIV患者的门诊就诊时间为11天。 - 44.8%的ED Connect接触到的客户在30天内接受了HIV服务。 - 34%的失联患者在接受30天内重新联系。 - **关键点**: - ED Connect为HIV感染者在关键阶段提供了桥梁。 - 通过培训、资金和人员配备,项目提高了患者与门诊护理的连接率。 - 解决了患者面临的障碍,如无家可归、心理健康、物质滥用和交通问题。
"紧急部门如何提升HIV患者护理?" "ED Connect项目如何连接患者与医疗服务?" "如何通过培训提升ED护理质量?"
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