通过改善患者出院过程来减少住院时间:使用质量改进工具来优化医院效率
Yacoub Abuzied1, Hassan Maymani2, Basim AlMatouq2
1Department of Nursing, Rehabilitation Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Global journal on quality and safety in healthcare
|June 1, 2023
概括
实施质量改善干预措施显著减少了患者住院时间 (LOS) 和提高了医院效率. 这种多学科的方法优化了患者出院的流程,从而带来了更好的结果.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 医院运营 医院运营
背景情况:
- 患者出院的延迟会对医院的效率和患者流动产生负面影响.
- 优化患者出院是医院管理和研究的关键目标.
- 这项研究检查了第三级护理中心的入院量和停留时间 (LOS),以确定出院延迟的因素.
研究的目的:
- 识别和管理延迟患者从医疗专业出院的原因.
- 探索在第三级护理环境中减少LOS的实际方法.
- 评估质量改进干预对排放过程的影响.
主要方法:
- 从2016-2018年收集的入院和出院数据.
- 在2017年实施了FOCUS-PDSA (计划,做,研究,行动) 质量改进方法.
- 制定具体的,可衡量的年度目标,以改善放电过程.
主要成果:
- 2016年至2018年间,平均LOS显著下降,从9.16天降至7.47天 (p < 0.001).
- 再入院率和死亡率在干预后显著下降.
- 干预表明治疗质量和入院/出院过程有所改善.
结论:
- 质量改善干预措施可以有效地减少患者的LOS.
- 涉及医疗人员的多学科委员会对于优化出院至关重要.
- 促进最佳的出院机制需要利用可用的医院资源和服务.
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