利用太空技术方法提高印度紧急部门的质量:一个质量改进计划
Saravana Kumar1,2, G Vikneswaran3, Jitendra Suryavamshi4
1Society for Emergency Medicine, India.
概括
通过应用太空机构的质量实践,Health-QUEST倡议成功地减少了急诊室患者等待时间. 这项质量改进计划在紧急护理的关键绩效指标上取得了显著的改善.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 紧急医疗 紧急医疗
- 患者安全 患者安全
背景情况:
- 人类错误是医院患者伤害的主要原因之一.
- 提高紧急护理质量和患者安全是全球优先事项.
- 卫生-QUEST倡议适应空间技术质量实践应急部门.
研究的目的:
- 用关键绩效指标 (KPI) 评估印度紧急部门 (ED) 的表现.
- 评估健康-QUEST (HQ) 实践对ED关键指标的可采用性和影响.
- 测量基于时间的患者护理指标的改进.
主要方法:
- 采用了干预前后的研究设计,医院作为自己的对照.
- 10家医院使用REDCap.com收集了基于时间的KPI (例如,门到分拣,门到医生,处置时间) 的实时数据.
- 干预涉及对QUEST建议进行培训,然后进行干预后的数据收集.
主要成果:
- 在10所参与医院,包括10,332名患者.
- 鉴定时间 (11分钟),门到疼痛评估 (23分钟),下令对调查审查 (26小时) 和处置时间 (1.5小时) 显著减少.
- 所有医院均保持中位数选时间在5分钟以下;90%的基线中位数排放时间约为2小时.
结论:
- 健康-QUEST计划是改善紧急护理的有效模式.
- 实时,基于时间的KPI对于评估ED患者的患者管理是有价值的.
- 该计划在参与的ED中显示了多个基于时间的关键关键指标的显著改善.
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