转变为学习型卫生系统:质量改进倡议
Jennifer L Chiem1,2, Elizabeth E Hansen1,2, Nicolas Fernandez3,4
1From the Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, Seattle, Wash.
贝尔维尤诊所和外科中心通过提高外科手术效率,患者护理和减少环境影响来展示学习的医疗保健系统. 持续的质量改进努力提高了儿科手术成果和社区健康.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 儿科手术 儿科手术
背景情况:
- 医学研究所的学习医疗保健系统 (LHS) 概念于2006年推出,重点关注质量,安全和价值,以改善患者的治疗结果.
- 贝尔维尤诊所和外科中心是一家门诊外科中心,致力于为儿科手术患者不断提高质量.
研究的目的:
- 评估在门诊外科中心学习医疗保健系统的实施和影响.
- 评估儿童手术护理的效率,有效性,有效性,公平性和环境安全方面的改进.
主要方法:
- 利用统计过程控制图表来分析七年来电子健康记录数据.
- 专注于质量改进计划的外科手术时间使用,阿片类药物节约协议,增强的康复计划,再接收的种族差异,和麻醉剂的温室气体排放.
主要成果:
- 通过提高泌尿外科手术效率,实现了每月手术量增加37%.
- 成功地适应了阿片类药物节约方案,并实施了儿科增强恢复计划.
- 将吸入麻醉剂的温室气体排放量减少了85%以上,并继续努力实现医疗保健公平.
结论:
- 贝尔维尤诊所和外科中心是通过持续的,以患者为中心的质量改进来学习健康系统的典范.
- 在效率,有效性,有效性,公平性和环境安全方面的持续举措对所服务的社区产生了积极的影响.
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