临床科学家领导的跨食管心声谱 (TOE):使用扩展的角色来改善服务
Nikki Kaye1, Michael Purdon2, Rebecca Schofield2
1North West Anglia NHS Foundation Trust, Peterborough, UK nikki.kaye@nhs.net.
临床科学家现在可以进行跨食管回声心电图 (TOE),改善患者的接入和减少等待时间. 这种增强的作用也降低了输管失败率,证明了心脏诊断的效率和结果的提高.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 医疗保健服务研究 医疗服务研究
背景情况:
- 过食管回声心脏图 (TOE) 对于诊断心脏病至关重要,但由于咨询心脏病学家的工作量而面临访问限制.
- 对TOE的长时间等待延迟了患者的关键治疗决策.
研究的目的:
- 通过重新设计劳动力角色来改善患者获得跨食管心声学 (TOE) 的机会.
- 为了减少TOE手术的等待时间,并优化咨询心脏病学家的时间.
主要方法:
- 通过使用"改进模式"实施质量改进项目,涉及五个计划-做-研究-行动周期.
- 重新设计了劳动力角色,将TOE的主要操作员角色从咨询心脏病学家转变为临床科学家.
- 测试的变化包括TOE输管治疗期间降低镇静水平.
主要成果:
- 减少住院患者的平均等待时间从7.7天减少到3.0天,门诊患者的平均等待时间从33.2天减少到8.3天.
- 增加了TOE诊所的容量,每月约释放2天的顾问时间.
- 通过使用较轻的镇静剂,在TOE期间将输管失败率从13%降低到0%.
结论:
- 一个由临床科学家领导的TOE服务模式显著提高了患者的访问能力,并减少了等待时间.
- 赋予临床科学家在先进角色的权力,提高了心声回声服务的效率和患者的结果.
- 该项目展示了持续的改进,以及在心脏诊断中加强临床科学家角色的价值.
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