缩小直接录取的差距:一个质量改进项目
Amanda L McKenna1, Laurel E Carter, Adam M Kase
1Department of Internal Medicine, Division of Community Internal Medicine (Dr Fitzgerald) and Department of Internal Medicine, Division of Hospital Internal Medicine (Dr Cowdell), Mayo Clinic, Jacksonville, Florida; Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Jacksonville, Florida (Drs McKenna, Carter, Kase, Kesler, and Varma); and Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona (Dr McCain). Dr Kesler is now a fellow, Indiana University, Indianapolis.
直接入院 (DAs) 被简化,以改善患者护理. 新工艺将临床医生订单的等待时间缩短到60分钟以下,而不会影响患者的满意度.
科学领域:
- 医疗保健管理的管理
- 提高医疗保健的质量 改善医疗保健的质量
- 优化患者流量优化
背景情况:
- 直接入院 (DAs) 在非紧急病例中绕过急诊室.
- 缺乏标准化的DA流程导致患者护理延迟.
- 现有的DA程序需要优化以提高效率.
研究的目的:
- 审查和修改直接录取流程.
- 减少从患者到达到初始临床医生订单的时间.
- 保持或提高患者满意度得分.
主要方法:
- 使用了质量改进工具,包括定义-测量-分析-改进-控制 (DMAIC),鱼骨图和流程映射.
- 专注于简化直接招生工作流程.
- 设定一个目标,将平均时间从84.4分钟缩短到60分钟或更短.
主要成果:
- 标准化的直接入院流程将患者到达到临床医生订单的平均时间减少到60分钟以下.
- 精简的流程并没有对患者入院忠诚度得分产生负面影响.
- 实现了直接录取的目标效率目标.
结论:
- 标准化的直接入院流程可以提高患者护理的及时性.
- 质量改进方法在优化医院工作流程方面是有效的.
- 有效的直接入院流程可以在不影响患者满意度的情况下实施.
相关概念视频
Quality Assurance
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Improving Translational Accuracy
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Angle Closure Glaucoma: Treatment
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:


