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Brian N Bartlett1, Nadine N Vanhoudt2, Hanyin Wang3
1Regional Vice Chair of Clinical Practice, Mayo Clinic Health System - Southwest MN region, 1025 Marsh St., Mankato, MN, 56002, USA. bartlett.brian@mayo.edu.
BMC health services research
|September 18, 2023
概括
美国医院面临着住院病人的病床容量挑战. 一个新的积极的患者安置策略优化了床位使用和减少转移,改善了区域医疗保健资源分配.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 提高质量 提高质量
背景情况:
- 医院在优化住院病床利用方面面临着持续的挑战.
- 由于影响患者流量的复杂变量,传统的容量目标 (80-85%) 可能无法有效.
- 这些因素包括患者需求,法规,部门间协调和患者转移流程.
研究的目的:
- 解决越来越多的住院病床使用率超过85%,以及美国农村卫生系统中不断增加的患者转移问题.
- 实施质量改善倡议,重点是主动将患者安置在医疗外科病房.
主要方法:
- 使用了敏捷项目管理方法的混合.
- 使用快速的计划-做-研究-行动 (PDSA) 循环进行代改进.
- 在医疗外科单位实施积极的患者安置策略.
主要成果:
- 在试验期间,区域医院的住院病床使用率有所增加.
- 总的地区外患者转移量显著减少.
- 主要枢纽医院和合作设施显示了能力管理的改善.
结论:
- 成功开发和实施了一种新的,主动的医院床位容量管理方法.
- 优化了合作医院床位的利用,增加了第三级医疗中心对复杂和急性病例的容量.
- 该战略加强了区域医疗保健资源分配和患者护理服务.
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