为了在医院中实现可持续的精益采用的路线图:德尔菲研究
Maria M Van Zyl-Cillié1,2, Desirée H van Dun3, Hanneke Meijer4
1Faculty of Engineering, North-West University, 11 Hoffman Street, Potchefstroom, South Africa. maria.vanzyl@nwu.ac.za.
BMC health services research
|September 18, 2024
概括
本研究介绍了"在医院中保持精益采用路线图" (SOLAR),这是医院实现可持续精益实施和改善患者护理的实际指南. 该模型通过结构化的阶段和可操作的步骤来确保长期的成功.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 组织发展组织发展.
背景情况:
- 在医院采用精益的做法提供了诸如提高效率和患者护理质量等好处.
- 在医院中持续实施精益技术仍然是一个挑战,强调需要指导.
- 现有的研究表明,医院特定的精益采用成熟度模型存在差距.
研究的目的:
- 开发一个规范性成熟度模型,以在医院中可持续采用精益.
- 为寻求实施和维持精益原则的医院提供实用指南.
- 解决对结构化方法的需求,以在医疗保健领域实现精益实施.
主要方法:
- "在医院中保持精益采用路线图" (SOLAR) 是根据三个理论基础制定的:精益实施成功因素,实施科学和变革管理理论.
- 一项系统的文献审查确定了医院精益的关键成功因素.
- 实施科学和变更管理理论的实践为行动项目和变更步骤提供了信息,通过三个Delphi轮进行可用性验证来改进.
主要成果:
- 最终的SOLAR模型包括四个成熟阶段:准备,计划,实验和学习,以及维持.
- 每个阶段包括与医院战略,资源,人员参与和文化相关的行动项目.
- 路线图为可持续的精益采用提供了指导方针,而不是一个详尽的清单,重点关注医院的关键考虑因素.
结论:
- 索拉的强大的理论基础使医院能够进行实验,并确定适合其独特环境的实施方法.
- 它是学术研究人员和参与精益采用的医疗保健从业人员的可操作指南.
- 路线图可以为未来的研究提供信息和指导,包括追溯纵向和行动研究研究.
相关概念视频
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:30Ethical Dilemmas II
957
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
957
01:15Methods of Documentation VI: Case Management Model
561
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
561
01:30Health Information Technology and Healthcare Information System
810
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
810
01:22Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
01:20Integrated Healthcare System
1.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.5K