使用DMAIC框架进行流程改造,以减少日托院输液治疗等待时间,以改善患者体验
Gopinath Mamballikalam1,2, Deena Davis1,3, K G Sabrish1,4
1Oncology Centre of Excellence, Aster Medcity, Kochi, Kerala 682027, India.
概括
在瘤学中减少日间护理输液治疗等待时间显著改善了患者的体验和安全. 一种系统的方法使平均等待时间减少了59分钟,提高了患者的满意度和运营效率.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 过程改进 过程改进
背景情况:
- 日间护理的输液治疗在瘤治疗中至关重要.
- 增加患者等待时间会对患者体验产生负面影响.
- 患者报告的结果强调了需要解决预约延迟的问题.
研究的目的:
- 分析和减轻日托院输液治疗中的长期等待时间.
- 简化流程流程,提高整体患者体验.
- 在6个月内实现>85%的患者遵守1小时的周转时间.
主要方法:
- 定义,测量,分析,改进和控制 (DMAIC) 方法的实施.
- 利用时间运动分析,鱼骨图和帕雷托图来识别和优先考虑延迟的原因.
- 进行计划-做-研究-行动 (PDSA) 周期,以进行流程更改,并绘制出新的工作流程.
主要成果:
- 基线遵守1小时的周转时间为32%,平均等待时间为108分钟.
- 干预后,坚持改善到89%,平均等待时间减少了59分钟.
- 患者满意度增加了7.5%,药物错误减少了0.62%,库存价值下降了50%.
结论:
- DMAIC方法有效地减少了等待时间,并提高了幼儿园输液装置的运营效率.
- 系统的流程改进提高了患者的满意度,安全性和瘤护理资源利用率.
- 对工作人员,患者及其家人来说,观察到有形和无形的好处.
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