心脏胸部手术室血气工作流程 提高绩效的倡议
Stefanie K Forest1, Kevin Kuan2, Ukuemi Edema1
1Department of Pathology, Albert Einstein College of Medicine, Bronx, NY, US.
American journal of clinical pathology
|March 9, 2024
概括
在心胸手术室简化血液气体检测减少了样本重新标记的问题. 实施电子订单系统显著改善了条码标签,提高了患者安全和及时的结果.
科学领域:
- 心胸外科手术 心胸外科手术
- 实验室医学 实验室医学
- 医疗保健信息学 医疗保健信息学
背景情况:
- 在手术室重新标记样品会给患者带来安全风险,并延迟关键的血液气体结果.
- 现有的血液气体订购和测试工作流程需要优化,以提高效率和准确性.
研究的目的:
- 评估和简化心胸手术室的血液气体订购和测试工作流程.
- 识别和实施绩效改进干预措施,以提高流程效率和患者安全.
主要方法:
- 从2018年8月到2022年12月进行了血液气体样本重新标记的回顾性评估.
- 一个电子健康记录 (EHR) 干预,一个OpTime Epic Sidebar按,于2019年1月实施,以简化订单.
- 这一干预措施促进了在手术室直接打印实验室条形码标签,消除了手动重新标签.
主要成果:
- 电子健康记录的干预大大提高了适当标记样品的速度,取得了持续的结果.
- 干预后,超过95%的血液气体样本从2019年3月到2023年1月到达标有条形码的标签.
- 这与不到1%的标本在干预前时代被适当标记的情况形成鲜明对比.
结论:
- 跨学科的合作对于解决复杂的医疗保健过程问题至关重要.
- 绩效改进方法对于开发有效和可持续的干预措施至关重要.
- 实施的工作流成功地减少了样品的重新标记,并改善了血液气体结果报告的及时性.
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