描述关闭跨机构推循环的障碍:工作流和信息流分析
Cassandra McCormack1, April Savoy2, Anna Mathew3
1Purdue University School of Industrial Engineering, West Lafayette, IN, USA.
Applied ergonomics
|November 28, 2023
概括
推过程中的故障阻碍了护理协调. 这项研究绘制了诊所的工作流程,并确定了关闭转诊循环的障碍,确保初级保健和专家之间及时交换信息.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 医疗保健管理的管理
背景情况:
- 专科转诊过程涉及初级保健临床医生将患者转诊给专家,需要强有力的护理协调和健康信息交换.
- 工作流和信息流中的故障经常阻碍"关闭推循环",延迟或阻止推者收到必要的顾问访问笔记,特别是在跨机构推期间.
研究的目的:
- 在临床环境中描述和绘制现有的专业转诊流程.
- 识别和描述特定的工作系统障碍,这些障碍会对推过程的表现产生负面影响.
主要方法:
- 定性研究,包括采访推临床医生和专家顾问.
- 探索感知的工作流程,确定障碍,并报告临床结果.
- 工作流分析由利益相关者的直接投入提供信息.
主要成果:
- 该研究成功地绘制了目前在诊所运行的转诊过程.
- 确定和描述了影响推绩效的关键工作系统障碍.
- 利益相关者采访提供了对工作流的低效率和信息流挑战的见解.
结论:
- 了解和解决已识别的工作系统障碍对于改善专业推过程至关重要.
- 有效的护理协调和健康信息交换对于关闭转诊循环至关重要.
- 工作流分析和利益相关者参与对于优化患者护理过渡至关重要.
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