在阅读室减少工作流和教育中断:工作更聪明,而不是更艰难
RaeLynne MacBeth1, Shweta Ravi1, Imran Abuhamdeh1
1Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH.
Current problems in diagnostic radiology
|July 17, 2023
概括
在急诊放射学中实施自动电话树显著减少了电话和改善了居民满意度. 这种具有成本效益的系统减少了中断,提高了教育和患者护理.
科学领域:
- 放射学 放射学是一门学科.
- 医学教育 医学教育
- 医疗保健管理的管理
背景情况:
- 在学术阅读室中断,特别是电话,扰乱了居民的教育和工作流程.
- 低效率和延迟的患者护理是放射科部门未经管理的沟通的结果.
- 目前的系统通常需要花费大量时间重新调度通话,从而影响生产力.
研究的目的:
- 评估在紧急放射学阅读室中实施成本效益高的自动化集中电话树的影响.
- 评估电话树对居民工作流程,中断和整体工作满意度的影响.
- 为了确定电话树是否通过简化通信来改善患者护理和居民教育.
主要方法:
- 使用了实施前和后的研究设计,分析了来自紧急放射学阅读室的电话记录.
- 在电话树实施之前 (2021年1月至2月,2021年5月至6月) 和之后 (2021年8月至9月) 的特定时期收集了电话呼叫数据.
- 在干预之前和之后,轮流住户进行了调查,以收集他们对工作流和中断的看法的定性数据.
主要成果:
- 实施后观察到,总电话数量有统计学意义的下降 (19天内8个电话,而20-22天内100-200个电话).
- 在引入电话树后,电话呼叫的中位数显示出统计学上显著的减少 (p < 0.017).
- 居民调查显示,关键指标的统计学上显著改善 (p < 0.05),包括减少中断和提高工作场所满意度.
结论:
- 自动化的中央电话树有效地减少了到达急诊放射学阅读室的电话量.
- 实施导致居民满意度的质量提高,减少了燃烧,并减少了中断负担.
- 一个自我指导的分类系统,如电话树,提供了一个简单的,经济有效的解决方案,以最大限度地减少辐射阅读室的干扰.
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