通过使用手术室供应扫描方法减少文档负担,采取行动应对临床医生的倦怠
Robert Abda1, Gail Pietrzyk, Paul Wesley Scott
1Author Affiliations: University of Pittsburgh School of Nursing, Pittsburgh, PA (Drs Abda, Scott, and Fennimore); and Universal Health Services Inc., King of Prussia, PA (Dr Pietrzyk).
Computers, informatics, nursing : CIN
|August 22, 2023
概括
实施外科用品扫描过程显著减少了近40分钟的手术室文件处理时间,并减少了房间周转时间. 这项质量改进倡议强调了技术在减少护士倦怠和提高效率方面的好处.
科学领域:
- 医疗保健管理的管理
- 护理信息学 护理信息学
- 手术手术手术手术手术手术手术手术
背景情况:
- 在手术室 (OR) 中手动记录手术用品对于循环护士来说是耗时的.
- 这种手动过程会导致文档疲劳,可能导致护理倦怠.
- 不有效的文档会影响整体的手术室工作流程和效率.
研究的目的:
- 在OR中设计和实施供应物品扫描过程.
- 评估扫描干预对关键绩效指标的影响.
- 评估对文档完成时间,房间流动,准确性,护士满意度和倦怠的影响.
主要方法:
- 一个质量改进项目,涉及美国九家急症医院.
- 实施供应物品扫描流程,用于操作内部文档.
- 在8个月的时间内,从189名循环护士收集了31,718项手术的数据.
主要成果:
- 平均手术内文件完成时间减少了37.33分钟.
- 手术室的周转时间平均减少了1.88分钟.
- 虽然感知到的picklist准确性没有得到改善,但对扫描有用性的主观反是积极的.
结论:
- 扫描干预可以显著优化手术供应文件的效率.
- 这种流程改进减少了护理工作量和手术室周转时间.
- 跨学科的合作是成功实施和更广泛的EMR优化潜力的关键.
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