离家更近:一个质量改进计划,以优化卫星站床位容量
Lisa E Herrmann1,2, Brittany Hubbell1,2, Abigail Taylor3
1Division of Hospital Medicine.
Hospital pediatrics
|June 10, 2024
概括
我们通过澄清入学标准,提高了卫星校园的床位容量,将使用率从45%提高到69%. 这使得患者离家更近,并减少了不必要的转移到主医院.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 患者访问 患者访问
背景情况:
- 由于COVID-19大流行,卫星校区的住院病床使用不足.
- 缺乏明确的录取标准导致患者频繁转移到主校园,增加旅行距离.
- 该研究旨在优化卫星校园资源的利用,并改善患者与护理的接近.
研究的目的:
- 在10个月内将卫星校园住院病床容量使用率从45%提高到70%.
- 提高符合条件的患者从卫星急诊室 (ED) 到当地住院病房 (LA4) 的入院率.
主要方法:
- 一个多学科的团队实施了质量改善举措.
- 关键干预措施包括修订入院指南,促进ED和住院提供者之间的共享理解,提供提供者的反,并标准化患者沟通.
- 通过图表审查收集数据,并使用注释的运行图表进行分析.
主要成果:
- 平均LA4床位容量使用率从45%增加到69%,并持续了一年.
- 从卫星ED入院到LA4的患者比例从76%上升到84%.
结论:
- 透明的入学标准和改进的通信增强了卫星校园床位容量利用率.
- 这些干预措施成功地让更多的患者在离家更近的地方接受住院护理.
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