识别门诊干预放射科的延误:质量改善研究
Jeremy Kilgour1, Glenda McLean1, Eldho Paul2
1Monash Health, Melbourne, Victoria, Australia.
门诊干预放射学 (IR) 程序的延迟是常见的,通常是由于IR室或放射科医生不可用以及文档问题造成的. 解决这些因素可以优化患者护理和员工效率.
科学领域:
- 放射学 放射学是一门学科.
- 医疗保健管理的管理
- 干预性放射学 干预性放射学
背景情况:
- 在COVID-19后,优化医疗保健服务提供至关重要.
- 专注于提高医疗保健机构的患者和员工福利.
研究的目的:
- 量化和确定吞吐量延迟的原因.
- 分析一家公共医院的门诊血管造影服务.
主要方法:
- 单中心研究81例门诊干预性放射学检查.
- 通过调查和电子医疗记录收集定量和定性数据.
- 工作人员记录了多种延误原因,并提供了详细的评论.
主要成果:
- 在81个程序中的73个程序中发现了93个延迟因素.
- 主要原因:红外线室的可用性 (40%),放射科医生的可用性 (28%),文档 (18%).
- 文件和房间不可用性独立地与程序启动延迟相关 (P<0.05).
结论:
- 90%的门诊干预程序出现了延迟.
- 确定了门诊干预程序延迟的主要原因.
- 这些发现可以指导改善干预性放射学服务的提供.
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