整合社会需求查和资源转介到标准的门诊瘤护理:质量改进项目
Stephanie L Wethington1, Anne F Rositch2, Ruoxi Yu1
1The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, MD.
JCO oncology practice
|January 26, 2024
概括
将与健康相关的社会资源需求 (HRSN) 查整合到电子医疗记录 (EMR) 中,显著改善了妇科瘤诊所的患者参与和转诊偏好文档.
科学领域:
- 在瘤学瘤学.
- 健康 结果 研究 研究 结果
- 医疗信息学 医疗信息学
背景情况:
- 在妇科瘤学中,基于纸质的与健康相关的社会资源需求 (HRSN) 查的完成率很低 (52%),并对转诊偏好文件不够完善 (63%记录).
- 主要缺陷包括患者参与度低,未能确定患者对资源转介的愿望.
- 解决这些差距对于全面的患者护理和资源分配至关重要.
研究的目的:
- 将HRSN的查符合性提高到至少90%.
- 将HRSN患者的转诊偏好文件增加到至少90%.
- 将HRSN查和转诊纳入电子病历 (EMR) 和诊所工作流程.
主要方法:
- 一个多学科团队设计并实施了一种EMR集成的干预措施,用于HRSN查.
- 查通过EMR患者平台在线提供,并在临床访问期间亲自进行.
- 该干预从2021年1月到2023年3月的五个计划-做-研究-行动 (PDSA) 周期中进行了代改进.
主要成果:
- 查合规性从基线的52%增加到97%的PDSA4.
- 在线患者门户完成率从17%的发布前升至49%的PDSA 4.
- 100%的报告需求的患者有记录的转诊偏好.
结论:
- 在妇科瘤学中,EMR集成显著提高了患者对HRSN查的可及性.
- 新系统有效地捕获了患者的转诊偏好,解决了之前的一个关键限制.
- 目前正在努力将这种综合方法扩展到其他门诊护理机构.
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