一般实践中的运营失败:关于改进优先事项的协商一致研究
Carol Sinnott1, Ahmed Alboksmaty1, Jordan M Moxey2
1The Healthcare Improvement Studies (THIS) Institute, Cambridge.
概括
一般医生 (GPs) 和患者同意NHS一般实践中需要注意的关键操作失败. 优先考虑这些问题,比如不准确的医疗笔记和转诊问题,可以提高护理质量和效率.
科学领域:
- 医疗保健管理的管理
- 初级保健研究研究初级保健研究
- 患者体验研究 患者体验研究
背景情况:
- 运营失败会对全科医生工作产生重大影响,影响患者和专业的经验,效率和有效性.
- 虽然许多运营失败是可以解决的,但优先考虑哪些需要改善是具有挑战性的.
研究的目的:
- 建立全科医生 (GPs) 和患者之间的共识,在NHS一般实践中优先考虑操作失败,以指导改进工作.
主要方法:
- 在2021年2月至10月期间,两项修改后的Delphi练习在线与NHS全科医生和英国各地的患者进行.
- 一般医生和患者参加了两轮评估操作失败的测试,使用中位数和四分位数范围分析数据来定义共识.
主要成果:
- 在GP Delphi演习中,确定了14个优先操作失败.
- 耐心的Delphi练习确定了13个优先级的失败,有显著的重叠问题.
- 首要的失败包括不准确的患者医疗记录,缺失的测试结果和转诊过程中的困难.
结论:
- 这项研究成功地确定了一般医生和患者所感知到的一般实践中高优先级的操作失败.
- 这些发现为改善举措提供了明确的重点,旨在提高初级保健机构的运营效率和有效性.
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