通过使用电子交换来简化电信中心和设施间的患者传输到儿科急诊室:质量改善倡议
Thomas P Wolski1, Sarah Kunka2, Elizabeth Smith3
1From the Department of Pediatric Emergency Medicine, Clinical Informatics.
Pediatric emergency care
|March 12, 2024
概括
实施电子交付系统显著减少了儿童急诊室每月转移电话的81.5%. 这简化了沟通,提高了患者转移效率.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 儿科急救医学 儿科急救医学
背景情况:
- 有效的患者移交对于安全和质量护理至关重要,特别是在儿科急诊室.
- 设施间传输往往会因为缺乏标准化的通信流程而面临信息丢失.
- 转移的复杂性需要改进的沟通策略,以确保护理的连续性.
研究的目的:
- 在一年内,每月减少50%的儿童急诊室的设施间转移电话.
- 实施和评估电子交换系统对通信效率的影响.
- 为了简化患者从门诊站转移到急诊室.
主要方法:
- 一个质量改善项目在一家三级护理儿科医院进行.
- 基于电子健康记录的电子交付系统被用于改善设施间的转移.
- 测量的主要结果是减少每月通往电信中心的电话数量,其次是使用电子交换和安全事件作为次要措施.
主要成果:
- 对电信中心的月度通话减少了81.5%,从157次减少到29次.
- 电子交付的使用量从零增加到平均每月544个实例.
- 在最初的12个月数据收集期后,观察到的减少呼叫和系统使用率的改善保持稳定.
结论:
- 电子移交计划成功促进了安全和高效的患者转移,优化工作流程而不会影响护理质量.
- 电信中心的中断较少,使员工能够专注于其他关键任务.
- 未来的步骤包括分析转移的患者接触,以进一步提高组织内的患者流动.
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