疑似慢性四肢威胁性缺血症 (CLTI) 的症状到评估途径影响护理质量:一个过程映射练习
Eleanor Atkins1,2, Ian Kellar3, Panagiota Birmpili4,2
1Clinical Effectiveness Unit, Royal College of Surgeons of England, London, England, UK eleanor.atkins@nhs.net.
BMJ open quality
|January 24, 2024
概括
治疗慢性四肢威胁性缺血症 (CLTI) 的延迟会使结果恶化. 这项研究发现,血管服务具有多样化,复杂的转诊和分拣过程,这表明简化可以改善对CLTI患者的紧急护理.
科学领域:
- 血管外科 血管外科
- 医疗保健过程改进
- 患者途径 患者途径
背景情况:
- 慢性四肢威胁性缺血症 (CLTI) 护理的延迟与增加的死亡率和四肢损失相关.
- 对CLTI患者的紧急护理途径对于及时干预至关重要.
研究的目的:
- 检查血管服务用于社区推的疑似CLTI患者紧急护理的流程.
- 为了识别转诊接收,分拣和评估程序的变化.
主要方法:
- 过程映射练习涉及英格兰的十二个血管外科病房.
- 采访了45名临床和非临床工作人员.
- 开发过程图,详细说明参与紧急CLTI护理的关键人员和结构.
主要成果:
- 参与单位展示了紧急转诊的各种接入点.
- 选过程在人员组成和速度方面存在很大差异.
- 诊所组织 (例如,热门诊所与常规位) 和区域服务结构 (血管网络) 增加了复杂性.
结论:
- 血管部门采用多种方法来对患者进行接入,分拣和评估,反映当地适应情况.
- 这些过程的复杂性可能会阻碍有效的患者护理.
- 简化现有的途径可能会为CLTI管理带来显著的好处.
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