改善苏格兰西南部的初级保健临床试验过程:基于系统的方法
Alex Howson1,2, Richard Ishmael3
1School of Medicine, University of St Andrews, St Andrews, UK ath9@scotgem.ac.uk.
BMJ open quality
|November 14, 2024
概括
实施预先设定的测试模板显著改善了在初级保健中提交电子测试请求,减少了临床医生的工作量,并确保及时对患者进行测试. 这项质量改善计划提高了医疗保健机构的效率.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 主要护理诊断的诊断方法
- 医疗信息学 医疗信息学
背景情况:
- 病人的测试要求不够明确是医疗保健中的一个常见问题,导致效率低下和潜在的错误.
- 苏格兰的一项一般做法以前只有42%的测试请求在患者预约前被上传到订单通信系统.
研究的目的:
- 提高在患者介绍之前上传到订单通信系统的测试请求比例.
- 减少与测试订单相关的临床医生时间和医疗保健资源浪费.
主要方法:
- 在苏格兰一家全科医院对患者预约记录的回顾性审查.
- 利用质量改进工具和计划-做-研究-行动周期来测试干预措施.
- 专注于增加临床医生和二级护理人员的呈现前测试请求,减少患者发起的请求,并优化系统.
主要成果:
- 在30周内,预先上传到订单通信系统的测试请求比例从42%增加到89%.
- 实施预设的测试模板是一个成功的干预.
- 该干预措施被推在30多个区域的一般实践中得到更广泛的采用.
结论:
- 预先设置的临床试验模板导致预先上传的测试请求增加了47%.
- 这种干预每周可以节省高达90分钟的临床医生时间.
- 该研究支持使用预设模板和有效的沟通,以优化临床环境中的患者测试.
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