一个"高可靠性组织"的方法来提高创伤成像性能
John McMenamy1, Ahmad Garada2, Sergey Kochkine3
1Associate Director of Service, Department of Radiology, Denver Health, Denver, Colorado.
Journal of the American College of Radiology : JACR
|June 30, 2023
概括
高可靠性组织 (HRO) 方法通过实施有针对性的干预措施,显著减少了创伤患者的计算机断层扫描 (CT) 周转时间. 这种以文化为中心的策略在改善重症患者CT表现方面被证明是有效的.
科学领域:
- 放射学 放射学是一门学科.
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 计算机断层扫描 (CT) 对于创伤患者分拣至关重要,并且越来越多地使用.
- 改善CT周转时间 (TATs) 是重症监护机构的一个共同目标.
- 传统的改进方法,如精益和六西格玛不同于高可靠性组织 (HRO) 的方法.
研究的目的:
- 评估一个高可靠性组织 (HRO) 模型,以快速改善创伤患者的CT性能.
- 评估HRO方法在产生,试验,选择和实施干预措施方面的能力.
- 测量HRO驱动干预措施对创伤护理中CT周转时间的影响.
主要方法:
- 一项为期5个月的研究包括一个机构的所有创伤患者.
- 干预措施是在3个月的时间内开发和实施的 (1个月的洗入,干预后2个月).
- 工作简报被用来确保共同理解,并促进员工之间的想法产生.
主要成果:
- 实施了七项干预措施,包括文本警报,脚本通信和修改的CT协议.
- 创伤患者的中位数CT TAT减少了60% (从78分钟降至31分钟).
- 观察到的TATs的减少在统计学上是显著的 (P < .001).
结论:
- HRO方法促进了改进干预措施的快速开发和实施.
- 实施的干预措施有效且显著降低了创伤患者的CT TATs.
- 一个HRO模型为提高CT在创伤护理中的性能提供了一个可行的策略.
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