在医疗保健中实施敏捷:多站点家庭医院加速器的方法
Meghna Desai1, Miriam Tardif-Douglin2,3, Indigo Miller4
1Ariadne Labs, Boston, Massachusetts, USA mdesai@ariadnelabs.org.
BMJ open quality
|May 27, 2024
概括
医疗保健创新采用速度缓慢. 敏捷框架Scrum加速了家庭医院工具的开发,将项目时间减少了20%,并改善了团队协作,以更快地提供护理模型.
科学领域:
- 医疗保健创新和传播
- 医疗保健中的组织框架
- 在医疗保健机构使用敏捷方法.
背景情况:
- 医疗保健创新传播速度缓慢,延迟了患者获得基于证据的护理的机会.
- 家庭医院模式在家中提供医院级护理,但面临实施障碍.
- 家庭医院早期采用者加速器是为了克服这些障碍而成立的.
研究的目的:
- 评估敏捷 (Scrum) 框架在加速家庭医院实施工具开发方面的效率和有效性.
- 在使用Scrum的医疗保健组织网络中评估团队动态和生产力.
主要方法:
- 利用Scrum Agile框架,协调各种技能集成为高效的团队.
- 设定一个目标,在40周内为家庭医院计划生产20个关键知识产品.
- 对加速器的实施进行了混合方法评估,衡量了生产力和参与者的经验.
主要成果:
- 18个组织在32周内生产了20个知识产品,减少了20%的时间.
- 参与者对有效的Scrum团队协作 (97.4%) 和对高质量的产品输出 (96.8%) 的高度一致.
- 与会者指出,与传统的组织团队相比,产品开发速度明显更快,尽管Scrum熟悉和平衡职责存在一些挑战.
结论:
- 一个基于敏捷的加速器有效有效地将不同的医疗保健组织联合起来,创建必要的家庭医院知识产品.
- 实施敏捷组织框架,如敏捷,可以加速医疗保健创新,并可能改变该行业.
- 这种方法证明了一种有价值的方法,可以克服实施创新的护理模式的障碍.
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