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Aric Lee¹, Eunice Lee², Shalini Nair³

¹Resident, Department of Diagnostic Imaging, National University Hospital, Singapore.

Journal of the American College of Radiology : JACR

|June 21, 2024

概括

结构化的质量改进干预措施显著减少了在镇静或全身麻醉 (GA) 下进行MRI的延迟. 这一举措通过尽量减少扫描等待时间,提高了患者护理和提供者的效率.

科学领域:

医学成像和放射学医学成像和放射学
改善医疗保健质量改善医疗保健质量
患者安全患者安全

背景情况:

在镇静或全身麻醉 (GA) 下的磁共振成像 (MRI) 延迟可能会对患者的结果和操作效率产生负面影响.
识别和解决这些延迟的根本原因对于优化成像服务至关重要.

研究的目的:

开发和实施结构化的质量改善干预措施,旨在减少在镇静或GA下执行MRI的延迟.
为了在六个月内减少15%的扫描延迟超过15分钟.

主要方法:

从2022年1月到2023年6月,对627种MRI (镇静剂/GA) 进行了前性审计.
过程映射和根源原因分析确定了延迟因素,导致通过四个计划,做,研究,行动 (PDSA) 周期实施干预措施.
延迟指标,包括延迟>15分钟和>60分钟的扫描,在干预前和后进行了比较.

主要成果:

基线:71.6%的扫描延迟>15分钟;28.2%的扫描延迟>60分钟 (中位延迟:30分钟).
干预后:观察到延迟超过15分钟的扫描减少了34.7%的点,延迟超过60分钟的扫描减少了17.5%的点.
延迟时间的中位数减少了15分钟 (P < .001).

结论:

结构化的质量改进干预,涉及多学科团队和PDSA周期,显著减少了在镇静下MRI和GA的延迟.
这些干预措施有可能改善患者的治疗结果和提供者工作流程的效率.
利益相关者参与和多元化的团队观点是成功实施和成果的关键.

关键词:

整体麻醉是一种全身麻醉.这就是为什么MRI是MRI.在 PDSA 周期中,质量改善质量改善镇静镇静是一种镇静.

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