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改善退伍军人事务部泌尿器科设置中的临床等待时间
Eyitemi Owens1, Susan Montgomery2, Jennifer Robles3,4
1Tennessee Valley Healthcare System, Nashville, TN, USA eyitemi_owens@yahoo.com.
Journal of doctoral nursing practice
|March 27, 2024
概括
实施快速诊所显著减少了退伍军人的泌尿器科等待时间43%. 这项质量改善计划提高了程序效率和患者满意度,最大限度地减少了泌尿器科护理的延迟.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 泌尿器科长期临床等待时间会对退伍军人的治疗和患者满意度产生负面影响.
- 泌尿外科手术的延迟,包括潜在的手术,源于延长的等待时间,影响退伍军人护理结果.
研究的目的:
- 为了减少门诊泌尿外科诊所内的整体程序等待时间.
- 实施和评估一个快速的程序诊所模型,以提高效率.
主要方法:
- 一个快速的程序诊所被建立使用精益方法的原则为退伍军人进行膀或前列腺癌监测.
- 用OAS CAHPS (卫生保健提供者和系统门诊和外科手术调查的消费者评估) 来评估患者满意度.
- 使用SPSS软件统计分析了等待时间,以衡量快速诊所的影响.
主要成果:
- 快速通道诊所在8周内将平均等待时间从131分钟减少到75分钟,改善了43%.
- 据患者报告,对指示的理解略有改善 (55%至59%),而收到书面出院说明的理解显著增加 (18%至68%).
- 该计划显示,程序等待时间和相关延迟的可测量减少.
结论:
- 引入快速程序诊所有效地减少了泌尿外科诊所的等待时间.
- 这项质量改进项目导致程序延迟减少,并改善了退伍军人患者护理体验.
- 建议对区块调度等策略进行进一步研究,以优化跨专业的诊所等待时间.
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