通过实施病例管理,简化患者流动并提高运营效率
Sultanah Al Harbi1, Baker Aljohani2, Lamiaa Elmasry3
1Case Management Department, Al Hada Armed Forces Hospital, Taif, Makkah, Saudi Arabia sm.alharbi909@gmail.com.
BMJ open quality
|February 29, 2024
概括
病例管理显著改善了医院患者流动,减少了住院时间和急诊室登机时间. 这一举措也提高了床位流通率,并节省了大量的成本.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 提高质量 提高科学 提高质量
背景情况:
- 医院患者流动是全球医疗保健的一个挑战.
- 有效的患者流量管理对于高效的医疗保健服务至关重要.
- 三级医院在管理患者流动方面面临着独特的复杂性.
研究的目的:
- 评估病例管理对第三级医院患者流动的影响.
- 量化与患者流动相关的关键绩效指标的改进.
- 评估增强患者流量的财务影响.
主要方法:
- 利用质量改进方法,包括精益原则和计划-执行-检查-行动循环.
- 调整了卫生保健改进研究所的"需求和供应方法".
- 在定义的研究期内,采用了干预前后的定量分析.
主要成果:
- 实现了平均住院时间显著减少 (11.5至4.4天).
- 急诊室平均登机时间大幅减少 (11.9至1.2小时).
- 从0.57提高床位周转率到0.93,节省了大量的成本.
结论:
- 一个结构化的病例管理程序在优化医院患者流动方面是有效的.
- 改善患者流动可以改善护理协调和患者的治疗结果.
- 实施案例管理可以显著增加收入和降低成本.
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