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在高需求的骨科诊所中解决效率问题

Mitchell Atkinson¹, Katie Wang¹, Nikola Kovac¹

¹Royal Perth Hospital, Perth, Western Australia, Australia.

ANZ journal of surgery

|December 18, 2023

概括

手术诊所的等待时间可以通过在预约前进行X射线和确保足够的人员来减少. 远程医疗为门诊外科服务提供了一个日益增长的替代方案.

科学领域:

整形外科手术整形外科手术
医疗保健管理的管理
优化患者流动,优化患者流动.

背景情况:

外科门诊因患者数量增加和人员短缺而面临效率挑战.
临床的可持续性是现代医疗保健机构的一个关键问题.
识别可修改的因素是改善门诊操作的关键.

研究的目的:

确定可改变的因素,导致骨科门诊等待时间延长.
分析州创伤中心内的诊所效率和患者流动.
评估人员配备比例和临床前程序对等待时间的影响.

主要方法:

一项前性观察队列研究在州创伤中心进行了四周.
临床医生记录临床延误,并通过电子预约系统跟踪患者数量.
数据分析使用SPSS v27来确定影响等待时间的重要因素.

主要成果:

医生咨询的平均等待时间为63.9分钟.
随着临床前X射线和适当的注册员人员配置,等待时间显著减少 (P < 0.001).
面对面 (18.9%) 和远程医疗 (361.1%) 的数量在2018-2022年间显著增加;创伤诊所在95%的病例中加班.

结论:

诊所的数量正在增加,这强调了对足够的人员和高效流程的需求.
临床前的X射线和优化的员工是改善临床效率的可修改因素.
远程医疗是手术门诊服务的快速扩展模式,具有未来增长潜力.

关键词:

效率效率效率效率效率效率效率门诊患者门诊患者远程医疗远程医疗

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