设计脊柱关节炎综合护理途径:精益思维方法
David Lobo-Prat1,2,3,4, Luis Sainz1,3,4, Ana Laiz1,3,4
1Rheumatology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
精益思维显著改善了脊椎关节炎患者的综合护理途径,减少了医院访问,提高了护理协调. 这种重新设计优化了流程,以获得更好的患者结果和标准化的临床实践.
科学领域:
- 医疗保健管理的管理
- 过程改进 过程改进
- 类风湿病学 类风湿病学
背景情况:
- 综合护理途径 (ICPs) 对于个性化患者护理至关重要,但要有效地发展起来具有挑战性.
- 医疗机构越来越多地使用精益思维来简化流程并消除低效率.
- 这项研究重点是使用精益思维重新设计用于脊椎关节炎患者的ICP.
研究的目的:
- 阐明应用精益思维来重新设计脊柱关节炎的ICP的过程.
- 评估精益思维实施对患者护理过程和结果的影响.
主要方法:
- 一个经过精益思维培训的多学科团队和患者的观点被纳入.
- 进行了价值流映射和分析,以确定需要改进的领域.
- 通过基线和实施后审计收集了关键绩效指标.
主要成果:
- 每名患者平均住院次数减少 (2.54至1.84),并增加了当天补充检查安排 (81.4%至94.8%).
- 显著改善了患者对疾病和治疗的教育 (22.2%至84.2%和18.2%至84.6%).
- 标准化临床实践,增加对活性指数,治疗坚持和非药物建议的数据收集.
结论:
- 精益思维应用程序成功重新设计了脊椎关节炎ICP.
- 改进包括加强门诊安排,减少患者的医院访问,以及更好的部门间协调.
- 临床实践标准化是重新设计的途径的一个关键结果.
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