在急诊室诊断患者流动问题:澳大利亚医院的案例研究
Tillmann Boehme1, Brogan Rylands1, Joshua Poh Fan1
1School of Business, University of Wollongong, Wollongong, Australia.
Journal of health organization and management
|June 17, 2024
概括
医院可以通过应用制造业部门的流程改进来改善急诊室的患者流动. 这项研究确定了患者流动的关键抑制剂,并提供了无医疗保健服务的解决方案.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 过程改进 过程改进
背景情况:
- 紧急诊所 (ED) 在患者流动方面面临挑战.
- 制造业技术为医疗保健效率提供了潜在的解决方案.
研究的目的:
- 调查如何从制造业进行基准测试和流程改进可以提高医院急诊室的患者流量.
- 在ED价值流中识别性能抑制剂.
主要方法:
- 一个澳大利亚公共医院的深入案例研究.
- 利用系统思维和多方法数据收集.
- 标记了急救部门 (ED) 的价值流.
主要成果:
- 低效的流程和软弱的控制制造了价值流的不确定性.
- 减少患者流量与管理目标,缺乏运营技能和分散的系统有关.
- 高员工比例加剧了整合问题和资源滥用,增加了事故风险.
结论:
- 医院管理人员可以使用系统思维和基准测试来确定无患者流动的干预措施.
- 这项研究使急性护理的无医疗保健系统概念变得可操作.
- 不确定性循环模型被用来比较ED价值流的到期期.
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