缩短用于静脉穿刺和管设备的收集时间:质量改进项目
Luke Glover1, Luna Nedic1, Rebecca Myers1
1Medicine and Surgery, Royal Devon University Healthcare NHS Foundation Trust, Exeter, GBR.
Cureus
|December 24, 2024
概括
简化了穿孔和管设备的检索,大大减少了收集时间. 这项质量改进项目优化了车布局和库存管理,提高了应急响应准备.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床过程优化临床过程优化
- 医疗器械管理 医疗器械管理
背景情况:
- 在医院病房收集静脉穿刺/管设备的延迟会影响紧急护理.
- 由于库存少,布局差,病房不一致等原因,临床医生感到丧.
- 为了解决这些关键的延误,启动了一项质量改进项目.
研究的目的:
- 到2023年6月,将穿孔或管设备收集的时间缩短到20秒.
- 识别和解决有效收集设备的障碍.
- 实施可持续的解决方案,以便及时获得医疗供应.
主要方法:
- 采用了质量改进方法,包括流量映射和根本原因分析.
- 实施了重新设计的车布局,优化了人力因素和清晰的标记.
- 进行了计划-做-研究-行动周期,并促进了整个病房采用标准化手推车.
主要成果:
- 最初的平均采集时间为141s (静脉穿刺) 和137.5s (注射管).
- 干预后,这两种手术的平均采集时间减少到18秒.
- 收到积极的主观反,特别是在模拟心脏骤停场景期间.
结论:
- 质量改进项目取得了成功,并大大减少了设备收集时间.
- 优化推车设计和标准化布局提高了临床环境中的效率.
- 授权的临床工作人员可以有效地推动医疗保健过程的重大改进.
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