通过数字化,提高初级医生值班交付的可用性和准确性
Alexia Haysom1, William Harry Loveday2, Kajanesh Ratneswaran2
1East London NHS Foundation Trust, London, UK a.haysom@nhs.net.
BMJ open quality
|March 14, 2024
概括
实施新的电子交付系统显著提高了初级医生关键患者信息的可靠性和可用性. 这种增强的沟通确保了更好的任务优先级和患者护理连续性.
科学领域:
- 医疗保健管理的管理
- 提高医学的质量 改善医学的质量
- 临床交流 临床沟通
背景情况:
- 临床移交对于医疗团队之间传输患者信息至关重要.
- 基于电子邮件的非正式交付系统是不可靠的,缺乏稳定性.
- 初级医生发现需要一个更有效的交接流程.
研究的目的:
- 提高临床移交的可靠性和稳定性.
- 加强日间团队对患者任务的优先级和后续工作.
- 实施和评估交付流程的质量改进计划.
主要方法:
- 使用的质量改进 (QI) 方法:过程映射,PDSA周期,驱动器图和运行图.
- 从Word文档转移到MS Teams上的集中式Excel电子表格.
- 引入了关键患者信息的结构列,并明确分配了循环的责任.
主要成果:
- 适当发送的移交的百分比从80%增加到100%.
- 在MS Teams上可见交付数据的可用性从80%上升到100%.
- 新系统被评为安全,有效和用户友好.
结论:
- 结构化,电子交付系统显著提高了临床环境中的沟通和任务管理.
- 质量改进方法在优化医疗保健流程方面是有效的.
- 成功的交接系统已经在其他医院复制.
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