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快速访问眼科诊所的手册:如何将眼科伤员出席率减少50%
Maria Eleftheriadou1, Aye Thi Han1, Eoin O'Sullivan2
1Moorfields Eye Centre at Croydon University Hospital, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Eye (London, England)
|July 31, 2023
概括
穆尔菲尔德斯眼科重组了其紧急眼科护理服务,通过新的快速访问诊所 (RAC) 减少了50%的入诊. 这改善了患者流动和紧急眼科护理转诊的适当性.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 克罗伊登的莫尔菲尔德斯眼科病房经历了不可持续的高患者出勤率,在2017-2018年有5894次紧急护理访问.
- 审计显示,患者和推者在治疗眼科疾病方面的知识有限,导致不适当的当天医院眼科护理出勤 (只有22%需要).
研究的目的:
- 为了重新配置莫尔菲尔德斯眼科,克罗伊登不可持续的眼睛步行紧急护理服务.
- 实施精简的紧急眼科护理服务,改善患者流动和转诊适当性.
主要方法:
- 合作重组涉及当地临床调试组 (CCG),全科医生 (GP) 机构,眼科医生和克罗伊登大学医院.
- 在2018年11月建立一个快速访问诊所 (RAC),以取代步行通道.
- 实施推和数据收集的数字平台,以实现持续的服务评估.
主要成果:
- 在RAC实施后,紧急护理出席率持续下降了50%.
- 紧急诊所出勤率的适当性显著改善,从32%提高到68%.
- 新系统增强了患者流动,并保持了其他眼科服务,而不会产生负面影响.
结论:
- 快速获取诊所 (RAC) 为紧急眼科护理提供了一个高效和安全的分拣系统.
- 前进的在线分拣和社区协作确保安全,当地的紧急眼科护理服务.
- 控制的预约出勤和咨询系统有效地优先考虑真正的紧急情况,优化资源配置.
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