计划评估和医疗保健流程改进侧重于复杂的轮椅采购
Sally Taylor1,2, Grace Hoo1, David Brewington1
1Shirley Ryan AbilityLab, Chicago, Illinois, USA.
Assistive technology : the official journal of RESNA
|October 24, 2024
概括
实施过程改进显著减少了轮椅 (WC) 评估到交付时间. 该项目简化了运营,使复杂康复技术 (CRT) WC交付的平均时间减少了21.5%.
科学领域:
- 康复工程 康复工程
- 医疗保健运营管理 医疗保健运营管理
- 医疗设备物流 医疗设备物流
背景情况:
- 特殊轮椅 (WC) 座位中心的运营对复杂康复技术 (CRT) WC 的交付时间框架的评估产生重大影响.
- 工作流程的低效率可能会导致需要CRTWC的患者的等待时间延长.
研究的目的:
- 评估部门流程改进 (PI) 项目的对CRTWC交付时间框架的评估影响.
- 确定具体干预措施是否可以缩短从初始评估到最终WC交付的时间.
主要方法:
- 进行了回顾性图表审计,在PI实施之前收集了50名个人评估到交付时间框架的基线数据.
- 在标准化部门工作流程下,收集了745名个人的PI后数据.
- 干预措施包括利益相关者教育,EMR修订,供应商会议和2017年3月至2018年4月的文书集中.
主要成果:
- 平均评估到交付时间框架显著下降,从干预前162.2天降至干预后127.4天 (p < 0.0001).
- 这意味着在平均时间范围内总体减少了21.5%,即34.8天.
- 该PI项目成功地缩短了患者接受CRTWC的时间.
结论:
- 部门的流程改进举措可以有效地减少对CRTWC的评估到交付时间.
- 系统性变革需要时间和所有利益相关者的承诺才能成功实施.
- 优化的工作流程可以提高患者获得必要的移动设备的机会.
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