确定三级医院管理的潜在可预测指标
Yolima Cossio-Gil1,2,3, Francisco Javier Pérez-Sádaba4, Jaume Ribera5
1Department of Evaluation and Information Systems, Vall d'Hebron University Hospital, Barcelona, Spain.
The International journal of health planning and management
|November 1, 2023
概括
医院正在从关键绩效指标 (KPIs) 转变为主动管理的关键决策指标 (KDI). 专注于护理流程和患者流动的KDI对于改善医院资源规划和质量是最有希望的.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 预测分析是一种预测分析.
背景情况:
- 欧洲大学医院联盟 (EUHA) 寻求从传统的关键绩效指标 (KPI) 过渡到使用关键决策指标 (KDI) 的更具预测性的决策模式.
- 这一转变旨在使医院管理人员能够预见并主动解决潜在的负面结果,从而改善早期干预和管理策略.
研究的目的:
- 识别潜在的KDI,可以从现有的KPI中推导出来.
- 根据这些潜在的KDI的相关性和可行性,为EUHA内的高度复杂的医院提供优先级.
主要方法:
- 进行了叙述性审查,以确定具有KDI潜力的KPI.
- 对EUHA医院管理人员 (n=51) 进行了两项调查,以根据决策价值和预测可行性评估KDI.
- 优先考虑的重点是KDI在短期开发和测试的价值和可行性上都很高.
主要成果:
- 该审查从153个初始指标中确定了45个潜在的KDI;有11个被优先考虑.
- 来自七家EUHA医院的25名管理人员的调查回复表明,他们更喜欢与急诊室,住院和手术过程相关的KDI.
- 与急诊部相关的KDI获得了最高的优先级分数,结果显示参与医院的一致性.
结论:
- 与护理流程和患者流动相关的关键决策指标 (KDI) 是作为预测工具的测试中最优先考虑的.
- 采用KDI为医院决策提供了一种新的方法,有可能显著提高资源的规划和管理,最终提高医疗保健质量.
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