通过实施药物早期释放项目,提高化疗单元的利用率
Mohsen Alzahrani1,2,3, Mohammad Alkaiyat1,2,3, Mona Alshami1,2,3
1Department of Oncology, King Abdulaziz Medical City, Ministry of National Guard-Health Affairs, Riyadh, Saudi Arabia.
Global journal on quality and safety in healthcare
|February 26, 2024
概括
门诊瘤输液单位可以通过实施药物早期释放计划 (MERP) 来减少患者的等待时间. 这项质量改进项目成功地将平均等待时间减少到60分钟以下,提高了患者满意度和单位效率.
科学领域:
- 在瘤学瘤学.
- 改善医疗保健质量 改善医疗保健质量
- 患者体验 患者体验
背景情况:
- 门诊瘤输液单位面临大量患者数量和资源限制,导致延长等待时间.
- 长时间的患者等待时间会对整体患者体验和单位效率产生负面影响.
- 一个繁忙的输液单位每天为60-70名患者提供服务,由于护士,椅子和药房资源有限,因此遇到了延误.
研究的目的:
- 为了减少患者在开始化疗治疗之前的等待时间.
- 为了改善输液单位的整体患者体验.
- 通过更好的资源利用和增加患者容量来提高单位效率.
主要方法:
- 成立了一个多学科委员会来解决延误的问题.
- 实施了药物早期释放计划 (MERP),允许提前发放药物.
- 为了优化MERP,使用多个计划-做-研究-行动 (PDSA) 周期,以及患者教育和严格遵守选择标准.
- 收集了等待时间,药物浪费和患者满意度的数据.
主要成果:
- 基线平均等待时间为2小时27分钟,在初始干预后减少到1小时24分钟.
- 经过密集的患者教育和完善的MERP标准,平均等待时间减少到≤60分钟,到2022年11月达到30分钟.
- 通过过程变化和患者教育,药物浪费成功减少到零.
- 患者满意度调查表明,实施后的满意度有所改善.
结论:
- 质量改进项目显著减少了化疗患者平均等待时间.
- 实施的MERP和相关策略带来了超过4年的持续积极成果.
- 该项目展示了一种成功的方法来提高在繁忙的瘤学环境中的效率和患者体验.
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