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在急性缺血性中风管理中使用精益管理方法:系统性审查
Urszula Cegłowska1, Anna Zawada1, Magdalena Zielińska2
1Department of Applied Pharmacy, Faculty of Pharmacy, Medical University of Warsaw, Poland.
Postepy psychiatrii neurologii
|August 9, 2024
概括
精益管理,使用价值流映射,可以减少急性缺血性中风 (AIS) 治疗的延迟. 这种方法有助于医院实现关键绩效指标,以加快患者护理的速度.
科学领域:
- 医疗保健管理的管理
- 过程改进 过程改进
- 脑卒中护理 脑卒中护理
背景情况:
- 脑卒中是全球主要的死亡原因,需要有效的治疗方案.
- 早期诊断和干预对于改善急性缺血性中风 (AIS) 患者的结果至关重要.
- 从制造业适应的精益管理为优化医疗保健流程提供了一个框架.
研究的目的:
- 检查在医院环境中精益管理实践的应用和有效性,以管理急性缺血性中风 (AIS).
- 评估精益工具对AIS处理中的关键绩效指标的影响.
主要方法:
- 在MEDLINE和SCOPUS数据库中对2000年至2022年间发表的研究进行了系统的文献搜索.
- 包括专注于AIS处理中的精益实践的研究,使用价值流映射分析工作流.
- 结果措施主要包括rtPA的门到针 (DTN) 时间和机械血栓切除术的门到穿孔 (DTP) 时间.
主要成果:
- 13项研究符合纳入标准,评估了诸如重组组织等离子体激活剂 (rtPA) 和机械血栓切除术 (MT) 等治疗方法.
- 价值流映射被普遍应用于分析AIS处理工作流.
- 在五项研究中观察到DTN时间的统计显著减少,在两项研究中观察到DTP时间的显著减少.
结论:
- 精益管理原则和工具,特别是价值流映射,可以有效地减少AIS治疗的医院延误.
- 实施精益实践支持实现关键绩效指标,并与当前的中风治疗指南保持一致.
- 越来越多的研究表明,医疗保健中越来越多地采用精益管理来优化流程.
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