通过结合精益和人类因素原则,提高儿科代码购物车的可用性
Maria Frazier1, Kristen Webster2, Maya Dewan1,3,4
1From the Department of Pediatrics, Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Pediatric quality & safety
|August 8, 2023
概括
通过使用精益和人为因素原则重新设计儿科代码车,提高了应急响应效率. 工作人员更快地获取关键物资,减少错误,每次补货节省了800多美元.
科学领域:
- 儿科急救医学 儿科急救医学
- 提高质量 提高科学 提高质量
- 人类因素工程 人类因素工程
背景情况:
- 住院儿童的心脏骤停需要有效的紧急反应.
- 组织良好的代码车对于快速获取物资和药物至关重要.
- 当前的代码购物车设计可能会阻碍及时干预.
研究的目的:
- 提高儿童重症监护中代码车的效率和可用性.
- 优化紧急用品和药物的组织和可访问性.
- 在儿科医疗中心环境中实施精益和人为因素原则.
主要方法:
- 一个质量改进项目,涉及到代码车的阶段性重新设计.
- 一个多学科的团队利用了精益和人为因素的原则.
- 与护士和呼吸治疗师进行模拟,以评估可用性和检索时间.
主要成果:
- 骨内接入设备的检索时间缩短 (23.9秒与46.4秒相比;P=0.003).
- 提高了工作人员报告的供应位置准确度,并减少了设备错误.
- 实现了超过800美元的成本节省,每个完整的代码购物车补货.
结论:
- 代码车重新设计,结合精益和人力因素,提高了效率和可用性.
- 改善组织和应急设备的可访问性是关键成果.
- 这项干预表明,在儿科重症监护机构中,有可能节省大量成本.
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