绩效反仪表板对医院医师实验室测试利用率的影响
Caroline McCormick1, Sarvpreet Ahluwalia2, Ankur Segon3
1Medicine, Oregon State University, Corvallis, OR.
概括
绩效反降低了医院实验室测试利用率和成本. 这项质量改善计划显示,常见的实验室测试减少了,在一个季度节省了大约42,700美元.
科学领域:
- 医疗保健管理的管理
- 临床实验室科学 临床实验室科学
- 卫生经济学 卫生经济学
背景情况:
- 医疗保健支出是一个重大问题,实验室检测的过度利用每年导致757亿至1012亿美元的浪费.
- 绩效反是改善以质量为中心的医疗实践的一种成熟方法.
- 关于绩效反对医院实验室测试开支的短期影响的数据有限.
研究的目的:
- 确定基于实验室利用的绩效反是否会影响医院医生和住院团队采取更保守的测试实践.
- 评估反对常见实验室测试利用率的影响.
主要方法:
- 一个三级学术医疗中心进行了为期3个月的质量改进项目.
- 分发了每周的绩效反报告,根据实验室测试利用率 (通过患者普查规范) 排名医院医生.
- 统计过程控制 (SPC) 图表被用来分析52周的每周实验室利用趋势.
主要成果:
- 完全血清的利用率从每例患者的5.54下降到4.83.
- 基本代谢面板/综合代谢面板的利用率从6.65下降到6.11每例患者接触.
- 该季度的总成本节省约为42,700美元,观察到每周利用率的非随机变化.
结论:
- 绩效反有效地减少了医院医生和住院团队中实验室测试的使用率.
- 这种干预为减少医院浪费和提高患者护理效率提供了一个有希望的策略.
- 该研究强调了数据驱动反的潜力,以促进具有成本效益的实验室测试订单.
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