减少不恰当的心脏回声图:一个质量改善倡议 (RISE-QI)
概括
实施简单的电子健康记录界面更改显著减少了36.3%的静态心声图订单. 这种对心声回声图工作流程管理的改进是长期持续的.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 胸外心声图可以耗时,导致繁忙的医疗中心的积压.
- 对心声回声图的不恰当的"stat"名称被确定为工作流瓶的贡献者.
- 一项质量改进审查发现,44%的统计声心电图订单缺乏适当的指示.
研究的目的:
- 为了解决过度使用"stat"优先级对心声回声图的订单.
- 提高心声回声图调度的效率,减少不必要的延误.
主要方法:
- 在电子健康记录界面中发现了一个漏洞,该漏洞鼓励过度使用"stat".
- 实现了一个界面修改,要求对"stat"订单进行特定指示.
- 简化了选择"ASAP"优先事项的过程,以鼓励适当使用.
主要成果:
- 在干预后一个月内,观察到"统计"心电回声图订单的统计显著减少36.3%.
- 在同一时期",ASAP"回声心电图的订单增加了173.9%.
- 这些对心声回声图订单模式的积极变化在一年和两年的随访中保持不变.
结论:
- 对心声回应图订单接口的简单修改可以大幅减少"stat"订单.
- 这种干预措施有效地提高了心声回声仪工作流程效率和资源配置.
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