围绕手术过程绘制地图,以识别马拉维一家三级医院的低效率
Paul Serrato1, Vanessa Msosa2, Jephta Kondwani2
1Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
The Journal of surgical research
|August 10, 2024
概括
同日手术取消,影响了马拉维44%的选择性手术,原因是资源问题和可修改因素. 过程映射和采访确定了改善外科护理效率和患者结果的关键领域.
科学领域:
- 医疗保健管理的管理
- 手术过程改进手术过程改进
- 患者体验 患者体验
背景情况:
- 取消当天手术病例是一个全球性问题,具有重大资源影响和患者护理中断.
- 马拉维的一项研究显示,有44%的选择性手术被取消,这凸显了了解促成因素的关键需求.
研究的目的:
- 开发一个手术病例完成的过程图.
- 调查医院工作人员和患者的观点,研究导致手术取消的因素和负担.
主要方法:
- 参与过程映射被用来详细介绍外科手术期间的过程.
- 对23名医院工作人员和10名手术被取消的患者进行了深入采访.
- 使用常数比较方法和NVivo软件进行主题分析,分析采访数据.
主要成果:
- 过程映射确定了在外科手术期间工作流程中的低效率和干预机会.
- 取消的原因包括不可避免的因素 (例如,供水,材料短缺) 和可修改的因素 (例如,延迟,通信障碍,评估不足).
- 取消导致医疗服务提供者与患者关系受到损害,沟通中断,情绪困扰,丧和士气丧失,对员工和患者来说都是如此.
结论:
- 过程映射是一种有效的工具,用于识别目标,以减少手术病例取消率.
- 医院系统可以适应这种流程映射方法,在特定的背景下处理取消.
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