Initiation of a Limb Preservation Service at a Tertiary Care Community Hospital Utilizing a Clinical Care Coordinator:

Foot & Ankle Orthopaedics

Snow B.Daws¹ 

关键词: Diabetes;    Length of Stay;    Resource Utilization;    Health Care Expenditure;   

DOI  :  10.1177/2473011416S00203

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:DiabetesIntroduction/Purpose:Lower extremity wounds and infections associated with diabetes result in significant use of health care resources and expenditures. Patients admitted to the hospital potentially require involvement of hospitalists and specialists from infectious diseases, orthopaedics, vascular and plastic surgery. Hospital services from the laboratory, radiology, and surgical departments may also be utilized, with case management for the complicated discharge planning of outpatient intravenous antibiotics and wound care. We hypothesized that utilization of a dedicated clinical care coordinator (CCC) would decrease patient length of stay and use of hospital resources for patients admitted to a tertiary care with a diabetes related lower extremity wound and/or infection.Methods:We initiated a Limb Preservation Service (LPS) utilizing a nurse practitioner with advanced training in wound care to act as the CCC. The CCC evaluates patients with diabetic lower extremity wounds and/or infect...

【 授权许可】

CC BY