在南印度的一个四级教学医院,使用质量改进项目和Donabedian模型改进紧急服务
Apoorva Goenka1,2, Suneel Mundkur3, Sachin Sujir Nayak4
1Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India.
BMJ open quality
|February 23, 2024
概括
使用计划-执行-检查-行动 (PDCA) 周期在急诊室 (ED) 实施质量改进,显著减少了患者等待时间,改善了整体护理. 这导致了更好的患者结果和提高ED效率.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 紧急医疗 紧急医疗
背景情况:
- 质量改进 (QI) 对于提高急诊室 (ED) 患者的治疗结果至关重要.
- 了解ED挑战和评估绩效是确定需要改进的领域的关键.
- 有效的QI策略可以带来更好的患者护理和结果.
研究的目的:
- 在南印度四级护理教学医院的ED中实施和评估一个质量改善项目.
- 评估计划-执行-检查-行动 (PDCA) 周期对ED运营效率和患者结果的影响.
- 通过结构化 QI 方法,确定 ED 内部增强的具体领域.
主要方法:
- 一项使用计划-执行-检查-执行 (PDCA) 循环的干预研究,以Donabedian模型为指导.
- 用描述性统计数据分析了QI实施前后ED指标的变化.
- 根源原因分析和利益相关者的意见为开发和执行六个月的快速PDCA周期提供了信息.
主要成果:
- 显著减少ED平均停留时间和止痛时间.
- 减少交叉咨询和ED转移时间,以及改善调查周转时间 (TAT).
- 减少患者在72小时内再次访问,减少了没有被看到的患者 (LWBS).
结论:
- PDCA循环是改善ED手术和患者治疗结果的有效干预措施.
- 提高ED服务,减少等待时间和改善TAT有助于整体服务效率.
- 对患者个人资料和护理因素的全面了解对于优化ED资源配置和医生可用性至关重要.
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