"覆盖提供者":一项旨在简化临床通信混乱的努力
Mugdha Joshi1, Arjun Gokhale2, Stephen Ma2
1Internal Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.
JAMIA open
|July 8, 2024
概括
根源原因分析确定了错误的供应商分配的关键驱动因素. 一个新的标准化工作流程显著减少了混乱和错误,提高了医疗保健专业人员的用户满意度.
科学领域:
- 医疗保健操作 医疗保健操作
- 临床工作流的优化 临床工作流优化
- 患者安全 患者安全
背景情况:
- 错误的提供者分配可能导致临床沟通失败,并对患者护理产生负面影响.
- 现有的工作流程可能缺乏清晰度,导致识别负责任的医疗保健专业人员的错误.
研究的目的:
- 对错误的提供者分配进行根源原因分析.
- 开发和实施标准化工作流程,以提高分配的准确性和清晰度.
主要方法:
- 成立了一个多学科工作组,包括家庭工作人员.
- 用价值流映射和鱼骨分析来确定分配错误的关键驱动因素.
- 试行了一种标准化工作流程,并进行了实施前和后的调查,以评估影响.
主要成果:
- 确定了导致分配错误的四个主要驱动因素.
- 标准化工作流程将一个提供者分配到Epic的治疗团队角色中,并相应地更新患者列表.
- 实施后的调查显示,减少了混乱,减少了提供者识别错误,护士和住院人员的满意度增加.
结论:
- 结构化的根本原因分析,涉及家庭工作人员,可以有效地解决供应商分配问题.
- 标准化工作流程对于减轻临床沟通故障带来的负担至关重要.
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