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一项跨专业倡议,针对住院儿科患者出院前的检查问题

Sarah H Vepraskas¹, Erica Chou², Danita Hahn²

¹Medical College of Wisconsin, Milwaukee, Wisconsin, svepraskas@mcw.edu.

WMJ : official publication of the State Medical Society of Wisconsin

|March 4, 2024

概括

由于工作流程效率低下,为管理在出院时悬而未决的儿科测试 (TPAD) 的试点计划被停止. 案例经理可能更有效地管理复杂TPAD并与外部临床医生沟通.

科学领域:

儿科医院医药儿科医院医药
医疗保健管理的管理
患者安全患者安全

背景情况:

住院的儿童通常在所有实验室测试完成之前就会出院.
在出院时未完成的测试 (TPAD) 的后续检查不足,可能导致医疗错误的风险.
试点开展了一项合作倡议,以在儿科医院医学部门解决TPAD.

研究的目的:

定义病例管理人员和儿科医院医学临床医师在管理TPAD方面的角色.
为TPAD建立一个有效的沟通流程.
通过确保及时跟进出色的实验室结果来提高患者安全.

主要方法:

一个跨专业团队进行了当前状态评估,包括临床医生对TPAD随访的调查.
电子健康记录确定了1450个TPAD;26个常见实验室被选中用于病例经理的随访.
为案例管理人员实施了共享电子收件箱,以便每天两次监控TPAD.

主要成果:

该试点计划涉及病例经理和临床医生,在六个月内进行了四个阶段.
当案例经理处理简单的TPAD时,观察到工作重复和有限的价值.
由于在已建立的工作流程中发现的低效率,试点项目被中止.

结论:

案例经理处理简单的TPAD的最初策略被证明是无效的.
修订后的方法可能涉及案例经理专注于复杂的TPAD.
未来的合作可以加强病例经理,初级保健提供者和家庭之间的沟通,以改善TPAD管理.

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