改善儿童心脏MRI的准时启动
Susan M Ferry1, Mohammad Jalloul2, Ethan P Larsen3
1Division of Cardiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Journal of the American College of Radiology : JACR
|October 16, 2023
概括
改善心脏MRI开始时间显著减少了患者的禁食和等待时间. 干预措施增加了从10%到34%的时间开始,改善了工作流程和患者护理.
科学领域:
- 心血管成像 - 心血管成像
- 放射学工作流的优化 工作流的优化
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 延迟心脏MRI开始时间导致患者长时间禁食,延长等待期,以及麻醉诱导和对比剂的不良同步.
- 目前心脏MRI检查的准时开始率仅为10%.
研究的目的:
- 为了提高心脏MRI检查的准时开始率.
- 解决心脏MRI调度和执行延迟的根本原因.
主要方法:
- 一个多学科的团队利用了通过团队赋权实现改进的方法.
- 确定了导致延误的关键因素:患者迟到,患者准备变化,设备不可用和计划效率低下.
- 实施干预措施,包括标准化预约脚本,优化患者准备,并确保设备可用性.
主要成果:
- 心脏MRI检查的准时开始率从基线10%增加到34%.
- 标准化脚本,及时准备和设备的可用性是干预的关键组成部分.
结论:
- 一种系统的,多学科的方法有效地识别和解决了导致心脏MRI延迟的问题.
- 持续应用计划-做-研究-行动循环促进了有针对性的干预措施,提高了工作流的效率.
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