从头痛到处理:初级保健诊所的先进篮子管理系统减少了提供者工作负担和自我报告的倦怠
LaPortia Smith1, Wendy Kirk2, Monica M Bennett3
1Department of Internal Medicine, Clinical Informatics Fellowship Program, Baylor Scott and White Medical Center Round Rock, Round Rock, Texas, United States.
Applied clinical informatics
|October 23, 2024
概括
实施基于电子健康记录 (EHR) 的团队护士分拣,减少了提供者燃烧和工作负担. 这项先进的篮子管理 (AIM) 项目提高了初级保健机构的效率和提供者的满意度.
科学领域:
- 医疗保健管理的管理
- 临床信息学 临床信息学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 电子健康记录 (EHR) 有助于提供者倦怠.
- 增加篮子中的消息量加剧了这个问题.
- 有效的篮子管理对于初级保健提供者的福祉至关重要.
研究的目的:
- 评估以团队为基础的团队管理方法对篮子管理的影响.
- 评估高级篮子管理 (AIM) 护士团队分拣的实施情况.
- 分析对提供者工作量和初级保健中的倦怠的影响.
主要方法:
- 在六个家庭医学诊所实施护士团队分拣的工作流分析.
- 从EHR数据中抽象和分析提供商工作流量指标.
- 干预后提供者对满意度和倦怠的调查.
主要成果:
- 每个提供商每天减少了In-Basket消息 (减少了12.2个).
- 计划外时间减少 (每天减少6.3分钟).
- 较低的篮子内时间 (每天减少3.5分钟),每条消息的时间增加 (13.7秒).
- 64%的人报告没有倦怠; 56%的人同意AIM减少了倦怠; ~70%的人认为AIM是可以接受的.
结论:
- 基于团队的护士在篮子中的分拣 (AIM) 可以在多个初级保健站点实现.
- 对于提供者来说,AIM项目是一个可以接受的干预措施.
- AIM有效地减少了供应商的工作量和自我报告的倦怠.
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