在手术前评估中精简实施的框架:来自意大利一个高度复杂的医院的证据
Giulia Goretti1, Martina Pisarra2, Maria Rosaria Capogreco3
1Department of Quality Management, IRCCS Humanitas Research Hospital, Rozzano, Italy.
在手术前评估中实施精益原则显著减少了非增值活动,并改善了患者护理途径. 这种方法提高了效率,并优化了医疗保健机构的资源利用.
科学领域:
- 医疗保健管理的管理
- 过程改进 过程改进
- 优化患者护理的优化
背景情况:
- 常规的手术前评估往往是无效和低效的.
- 精益思维在医疗保健中被广泛应用,但在手术前入院中未得到充分利用,以减少浪费.
- 开发了一个概念框架,以确定精益实施的驱动因素和影响.
研究的目的:
- 分析一家意大利医院在手术前评估中实施精益原则的情况.
- 为了证明如何精益可以减少在手术前入院的"没有附加值"活动.
- 评估在这种情况下应用精益方法的积极结果.
主要方法:
- 一个意大利高复杂性医院的案例研究分析.
- 精益原则的应用,包括价值识别,价值流映射和连续流.
- 开发和使用驱动因素和影响的概念框架.
主要成果:
- 创建了40个个性化的患者护理途径,提高了护理的适当性.
- "没有增加价值的时间"从37%降至28%.
- 减少不必要的检查和检查,如胸部X射线 (41%至14%) 和心脏检查 (49%至37%).
- 增加了数字化,每年平均患者时间减少了1.5小时.
- 通过结果治理,确保持续改进.
结论:
- 拟议的框架为提高手术前入院质量提供了一个模型.
- 采用精益驱动器有助于成功实施和可衡量的影响.
- 这种方法改善了手术前服务的患者护理,效率和可持续性.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
相关概念视频
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Integrated Healthcare System
Methods of Documentation III: PIE
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
