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再次翻转"页面":减少不合适的下班时间页面
Rachel A Mann1, Brent E Cleveland1, Jacob A Albersheim1
1The University of Minnesota Department of Urology, Minneapolis, MN.
Urology
|August 15, 2024
概括
实施有针对性的干预措施在泌尿器科部门显著减少了68.4%的不适当的下班页面. 这种改善超过了研究结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健管理的管理
- 患者沟通 患者沟通
背景情况:
- 对值班住院人员的下班页面可能会破坏患者的护理和工作流程.
- 这些页面的很大一部分往往不合适,表明需要改进流程.
- 明尼苏达大学泌尿病学系的目标是减少这些破坏性页面.
研究的目的:
- 将不合适的下班时间页面数量减少50%.
- 识别不合适页面的来源并实施有针对性的干预措施.
- 评估这些干预措施在页面缩小方面的有效性.
主要方法:
- 记录了9周内 (第一阶段) 对值班泌尿病科住院医生开放后的页面.
- 页面由独立审查员审查,以确定适当性.
- 开发了三个干预措施,针对楼层护理,患者呼叫和呼叫分拣中心,随后进行了6周的实施和9周的数据重新收集 (第二阶段).
主要成果:
- 最初,52.7%的页面是不合适的,其中最高比例 (90.9%) 来自呼叫中心.
- 在干预后,每班平均页面数量从8.9下降到6.0.
- 每班不合适的页面减少了68.4% (P < .0001),超过了50%的减少目标.
结论:
- 改善与护理人员,患者和呼叫中心人员的沟通,有效地减少了不合适的下班页面.
- 实施的干预措施导致不合适的页面减少了68.4%,超过了最初的目标.
- 建议进行进一步的研究,以评估这些改进的长期可持续性.
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