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在一个大型儿科卫生系统的胃肠部改善基于证据的门诊订单组利用
Kevin L Watson1, April M Love2, Hanna Lemerman3
1From the Division of Gastroenterology, Hepatology and Nutrition, Akron Children's Hospital, Akron, Ohio.
Pediatric quality & safety
|January 24, 2025
概括
质量改善举措成功推动了胃肠道部门使用标准化订单集 (SmartSets) 的使用. 这提高了效率和提供者的工作流程,而不会影响患者的安全.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床信息学是一种临床信息学.
- 胃肠病学实践管理的管理.
背景情况:
- 标准化对于医疗保健质量和公平性至关重要.
- 临床决策支持工具,如Epic的SmartSets,是标准化的关键.
- 在胃肠道部门的SmartSet利用率低 (1.9%),需要进行干预.
研究的目的:
- 将胃肠道服务提供者的SmartSet使用率从1.9%提高到20%.
- 将供应商订单时间缩短10% (每次订单从3.3分钟减少到2.8分钟).
- 为了监控安全报告作为平衡措施.
主要方法:
- 一个质量改进 (QI) 团队使用了改善方法的模型.
- 干预措施包括教育,提供商购买,绩效反和SmartSet开发.
- 确定了主要和次要目标,以安全报告作为平衡措施.
主要成果:
- 在7个月内,SmartSet的使用率超过了20%.
- 每次订单的中位时间从每次订单的3.3分钟下降到2.4分钟.
- 在项目期间,没有观察到安全报告的不良变化.
结论:
- 质量改进方法有效地提高了SmartSet在胃肠病学中的使用率.
- 质量智能计划简化了订单流程,减少了供应商的时间.
- 这项研究证明了QI在增强标准化临床工具方面的价值.
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