结构化推呼叫处理流程 改善新生儿运输 调度时间
Khorshid Mohammad1, Soumya Thomas2, Chacko J Joseph2
1Division of Neonatology, Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
American journal of perinatology
|July 10, 2023
概括
实施新的呼叫处理流程大大减少了新生儿运输时间. 这加快了决策和团队动员,提高了关键婴儿转移的整体效率.
科学领域:
- 新生儿运输物流新生儿运输物流
- 医疗保健过程改进 医疗保健过程改进
- 紧急医疗服务 紧急医疗服务
背景情况:
- 南阿尔伯塔新生儿运输服务的目标是改善响应时间.
- 以前的运输呼叫处理流程在调动团队方面缺乏效率.
研究的目的:
- 评估新的运输呼叫处理流程对新生儿运输决定到发送和调动时间的影响.
- 为了比较新生儿运输效率的干预前后指标.
主要方法:
- 追溯队列研究分析了2017-2021年新生儿运输数据.
- 从咨询开始定义了"发送时间" (DT) 和"调动时间" (MT).
- 干预涉及3分钟的DT目标和SBAR通信工具的引入.
主要成果:
- 发送时间的中位数从5分钟减少到3分钟 (p < 0.001).
- 实现的DT目标从26.24%增加到67.08% (p < 0.001).
- 实现的紧急/紧急转移的MT目标从18.05%上升到42.71% (p < 0.001).
结论:
- 一个时间敏感的推呼叫处理过程有效地减少了新生儿运输调度和调动时间.
- 实施的过程提高了新生儿运输决策的效率.
- 结构化的沟通工具和专用资源是提高运输效率的关键.
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