安全地将MRI转移到外科医院,以评估发作
Brooke Shuster1, Barbara E Switzer1, Meenu Krishnasamy1
1Department of Pediatrics, Inova Children's Hospital, Falls Church, Virginia.
Hospital pediatrics
|November 14, 2023
概括
实施新的临床指南和标准化过程显著减少了住院患者脑MRI的评估从50%降至26%. 这种转变安全地降低了成本,并通过优化MRI利用来改善患者护理.
科学领域:
- 神经学 神经学
- 放射学 放射学是指放射学
- 医疗保健管理的管理
背景情况:
- 住院的大脑MRI用于发作评估是昂贵的,产量低 (2%).
- 从2018年到2020年,住院患者因而进行的MRI增加了20%.
- 目前的做法表明,MRI订购的供应商在MRI订购中存在显著的变化.
研究的目的:
- 为了减少住院患者的大脑MRI发作评估从50%降至40%.
- 在6个月内安全地将MRI利用转移到门诊环境中.
- 为了规范MRI订购和使用协议.
主要方法:
- 分析了MRI订购实践中的提供者变异性.
- 制定了地方指导方针,以标准化MRI的使用.
- 创建了一个过程地图,以识别和克服门诊MRI的障碍.
- 实施了一种简化,自动化流程,用于门诊MRI转诊.
主要成果:
- 住院患者的MRI用于评估发作从实施后的50%降至26%.
- 在各种发作类型 (发烧性,被挑起的,未被挑起的) 中观察到显著的减少.
- 在过去的12个月中,准则的遵守率达到93%.
- 在接受门诊MRI的患者中,没有急性发现的再入院.
结论:
- 一个临床指导方针和标准化的过程有效地和安全地减少了住院患者对发作评估的MRI利用.
- 实施的变化优化了资源配置和患者管理.
- 成功将MRI转移到门诊环境,提高了效率,而不会损害患者的安全.
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