开创了使用追踪器数据来评估精益型医院设计的先驱
Hannelore Schouten1, Stefan Heusinkveld2, Jos Benders3,4
1Department of Management and Organization, Vrije Universiteit, Amsterdam, the Netherlands.
HERD
|February 13, 2024
概括
精益主导医院设计 (LLHD) 并没有显著改变护士在增值和浪费活动之间分配时间的方式. 移动追踪提供了一个负担得起的评估方法,但也需要定性数据.
科学领域:
- 医疗保健管理的管理
- 医院设计 医院设计
- 护理工作流分析分析
背景情况:
- 精益主导医院设计 (LLHD) 旨在优化患者价值,减少医疗机构的浪费.
- 由于缺乏有效和负担得起的评估方法,对LLHD的影响的研究有限.
- 评估LLHD对护理时间分配的影响对于理解其实际好处至关重要.
研究的目的:
- 评估LLHD对护士在增值 (例如病房) 和非增值活动之间分配时间的影响.
- 探索使用移动追踪设备评估医院设计影响的有效性和可负担性.
- 研究医院设计,护理工作流程和患者护理效率之间的关系.
主要方法:
- 在一个开创性的LLHD案例研究中,采用了占用前/占用后评估方法.
- 移动追踪设备被用来收集关于护士的位置和时间的客观数据.
- 护士在病房的时间被用作增值活动的代理.
主要成果:
- 与新LLHD设施相比,旧设施的护士分配的增值时间没有显著差异.
- 该研究对LLHD对护士时间分配的影响的发现仍然没有确定性.
- 该研究没有证明LLHD在将护士转移到更多增值活动中的有效性.
结论:
- 移动追踪设备为医疗保健机构收集客观数据提供了具有成本效益和高效的方法.
- 来自跟踪设备的基于时间的数据的解释需要与定性信息进行整合,以获得全面的理解.
- 需要进一步的研究才能充分理解LLHD对护理工作流程和患者结果的影响.
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