通过修改多学科董事会轮次,增加住院老年病房面临护理的患者的员工时间:质量改进项目
1Care of the elderly medicine, North Bristol NHS Trust, Westbury on Trym, UK hannah.britton@nbt.nhs.uk.
BMJ open quality
|October 4, 2023
概括
减少医院董事会轮次每周节省25个小时,增加了医务人员为患者护理的时间. 这项质量改进项目提高了效率,但没有对患者流量产生负面影响,证明了有效的资源使用.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 老年医学 老年医学
背景情况:
- 由于无法管理的服务需求,NHS工作人员面临着燃烧.
- 招聘和留守挑战加剧了劳动力短缺.
- 为了解决这些问题,在住院老年病房启动了一项质量改进项目 (QIP).
研究的目的:
- 增加员工专注于面向患者的护理的时间.
- 为了减少医院董事会会议的重复.
- 为了优化资源利用在一个繁忙的NHS病房.
主要方法:
- 实施了经过修改的董事会圆周时间表,将每天的会议从两次减少到一次.
- 介绍了一个简短的多学科团队 (MDT) 安全简报.
- 利用计划-做-研究-行动循环进行代过程改进.
- 通过工作人员问卷,时间运动研究和患者出院指标收集数据.
主要成果:
- 每周节省25小时的MDT时间.
- 所有工作人员报告说,面向患者的护理时间增加了.
- >85%的员工同意这些变化改善了病房的运作.
- 每周病房出院人数从15.75增加到17.5,这表明对患者流动没有负面影响.
结论:
- 在员工时间管理方面的本地创新可以支持有效利用有限的NHS资源.
- 简化医院董事会轮次是改善患者护理的可行策略.
- 质量改进举措可以对员工福利和患者流量产生积极影响.
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