通过优化临床途径,在Manukau县增加对白内障手术的获取:质量改善报告
Manlio Chiesa1, Graham Reeves2, Courtney Harper3
1Senior Improvement Advisor, Ko Awatea, Health New Zealand - Te Whatu Ora Counties Manukau, Auckland.
The New Zealand medical journal
|May 16, 2024
概括
简化了白内障手术途径,减少了等待时间和成本. 临床优先评估标准 (CPAC) 的得分下降,尽管有需求压力,但外科手术能力增加.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高科学 提高质量
背景情况:
- 白内障手术途径经常面临延迟和低效率.
- 优化患者流动对于管理需求和改善获得护理的机会至关重要.
研究的目的:
- 简化白内障手术途径,缩短从第一次专家评估 (FSA) 到手术的时间.
- 将临床优先评估标准 (CPAC) 的分数从55分降至50分,改善患者的接入.
主要方法:
- 一个使用精益六西格玛和改善模式框架的质量改进项目.
- 从i.Patient Manager (iPM) 系统收集的数据,并使用统计过程控制图进行分析.
- 干预措施包括结合FSA和入院前诊所,实施手术后电话审查,并利用私人剧院时间.
主要成果:
- 将标准白内障路径从5次减少到3次,节省了1514个预约时间和113个高级医务人员时间.
- 从FSA到手术的平均等待时间减少了13.5% (从90天到77天),逾期患者数量减少了35%.
- 平均每月白内障手术增加了12% (192至215),并成功将CPAC得分门降至50分.
结论:
- 优化的临床途径有效降低了白内障手术访问的CPAC得分,尽管需求压力和COVID-19的干扰.
- 该项目成功地利用了员工的能力,并通过路径重新设计来最大限度地提高患者价值.
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