一个质量改进项目:在门诊环境中提供护士手术前电话支持的快速接入透镜诊所
Lucy Wong1, Catherine Askew2, Katherine Sowden3
1Improvement Advisor, Ko Awatea, Te Whatu Ora Counties Manukau, Auckland.
一个新的快速访问诊所 (RAC) 用于透镜改善了早期的子宫内膜癌 (EC) 检测和临床医生的效率. 这种以患者为中心的方法降低了成本和环境影响,同时提高了患者的体验.
科学领域:
- 妇科 妇科医生 妇科
- 在瘤学瘤学.
- 医疗保健管理的管理
背景情况:
- 在新西兰奥特亚罗亚,子宫内膜癌 (EC) 的发病率不断上升.
- 肥胖和糖尿病等危险因素的流行率增加.
研究的目的:
- 实施和评估一个快速访问诊所 (RAC),用于早期EC检测.
- 评估护士领导的手术前电话咨询在RAC中的影响.
主要方法:
- 使用计划-做-研究-行动 (PDSA) 周期进行实施.
- 收集了有关效率,成本和等待时间的定量数据.
- 收集了有关患者在电话咨询中的体验的定性数据.
主要成果:
- 207名妇女完成了RAC,减少了访问和节省成本 (35959新西兰元) 和二氧化碳排放 (1782公斤).
- 消除了从首次专家预约到门诊胰腺镜检查的时间.
- 每次治疗,临床医生的生产力提高了25%.
- 在207名妇女中,有27名被诊断患有EC;26/30名患者报告了积极的电话咨询体验.
结论:
- 快速访问诊所以患者为中心,对临床医生和怀疑EC的妇女有益.
- 实施的RAC模型成功提高了早期检测和运营效率.
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