评估急救部门的出院中心:一个学习的组织对效率和未来方向的方法
Bibi S Razack1, Naya B Mahabir2, Lisa O Iyeke2
1Emergency Medicine, Valley Stream Hospital, Valley Stream, USA.
Cureus
|December 12, 2024
概括
在紧急部门排放中心 (EDDC) 实施SHOUT工具和简化SDoH调查可以显著提高效率. 这使得EDDC工作人员能够扩大关键的随访电话对出院的患者,提高护理协调和患者的结果.
科学领域:
- 医疗保健管理的管理
- 患者护理协调与协调
- 医疗保健服务研究 医疗服务研究
背景情况:
- 目前,紧急部门出院中心 (EDDC) 正在使用一个漫长的纸质工具来对健康的社会决定因素 (SDoH) 进行查和安排预约.
- 没有明确的标准可用于将患者转移到EDDC以获得预约协助.
- 退院患者的后续呼叫计划,与改善的满意度和退款相关,由于高体积,只能达到8.6%的患者.
研究的目的:
- 通过学习组织原则来评估EDDC的效率.
- 找出EDDC工作人员扩大解雇后后续呼叫计划的机会.
- 优化EDDC内部的患者转诊和SDoH查过程.
主要方法:
- 应用学习组织原则,专注于"系统思维"和"团队学习",吸引EDDC的员工和领导.
- 追踪EDDC工作人员并分析了接受预约辅助,SDoH查和后续电话的患者的数据.
- 确定SHOUT工具用于预测出院失败,并调查患者以评估SHOUT标准的流行率和SDoH需要/兴趣与社区组织 (CBOs) 联系.
主要成果:
- 每位患者的EDDC工作人员花费大约35分钟,与医生办公室保持联系.
- 只有6%的受访患者符合EDDC援助的SHOUT标准.
- 在对SDoH进行查的患者中,很少有百分比发现需要并独立跟进;许多回调患者已经预约或有临床问题.
结论:
- 学习组织的练习突出了SHOUT工具在改进EDDC患者选择方面的潜力.
- 实施SHOUT标准和基于QR码的SDoH调查可以为EDDC提供大量时间来扩大后续呼叫,提高95%的效率,同时保持好处.
- 对于那些难以获得预约的患者,EDDC工作人员可以作为后续呼叫的安全网.
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