推送通知系统的优化,以改善首次延误:一个质量改进项目
Chelsea Secondino1, Samantha Tortora1, Kerry A Milner1
1Sacred Heart University Davis and Henley College of Nursing, Fairfield, CT.
概括
在某些领域,优化手术前 (pre-op) 推送通知提高了手术室效率. 增加的护士采用率提高了第一例及时开始 (FCOTS) 率,但有限的外科医生参与阻碍了更广泛的影响.
科学领域:
- 医疗保健管理的管理
- 手术手术手术手术手术手术手术手术
- 医疗信息学 医疗信息学
背景情况:
- 操作室的效率对于医疗保健系统至关重要.
- 第一次病例启动的延迟会影响患者流动和资源利用.
- 有效的沟通工具对于优化手术工作流程至关重要.
研究的目的:
- 提高第一次按时启动 (FCOTS) 率.
- 优化使用手术前 (手术前) 推送通知系统.
- 为了减少手术室的延误,提高整体效率.
主要方法:
- 一种使用"改进模型"的质量改进方法.
- 实施了电子健康记录集成的推送通知系统,用于外科医生与护士的沟通.
- 进行了强制性员工教育,并利用计划-做-学习-行动周期来改进流程.
主要成果:
- 护士采用推送通知的净增长率为17%,达到51%的峰值.
- 外科医生采用显示净收益仅为2%,达到18%.
- 护士通知使用率较高的馆区的FCOTS率有所改善,特别是南馆区的FCOTS率增加了12%.
结论:
- 增加护士对推送通知的参与,对特定领域的FCOTS产生了积极的影响.
- 限定的外科医生参与限制了该系统在减少延迟方面的整体有效性.
- 未来的努力必须优先考虑更广泛的员工参与和工作流集成,以持续提高外科效率.
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