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一个实施便利干预措施,以改善整个伦敦的X光学家的肌肉骨X射线报告

Paul Lockwood^1,2, Christopher Burton³, Theresa Shaw³

¹School of Allied Health Professions, Faculty of Medicine, Health and Social Care, Canterbury Christ Church University, North Holmes Road, Canterbury, Kent, UK. paul.lockwood@canterbury.ac.uk.

BMC health services research

|February 13, 2025

概括

便利化策略帮助伦敦的放射科医生超过了报告肌肉骨X射线的50%目标,尽管面临劳动力挑战,但改善了服务提供.

科学领域:

医疗保健管理的管理
放射学服务放射学服务
实施科学实施科学

背景情况:

伦敦国家卫生服务 (NHS) 放射学服务面临重大挑战,包括肌肉骨 (MSK) X射线报告的劳动力短缺以及难以达到国家周转时间 (TAT) 目标.
启动了一项项目,以评估促进的有效性,作为一项战略,以实现英格兰NHS的目标,即所有MSKX射线中的50%由放射科医生报告.

研究的目的:

评估实施便利化战略对放射科医生MSKX射线报告的影响.
评估在NHS内的放射科医生实现MSKX射线50%报告目标的可行性和有效性.

主要方法:

这是一项为期八个月的多中心研究,涉及五个伦敦NHS信托,利用PARIHS框架促进卫生服务研究实施行动.
混合方法评估,包括上下文评估指数 (CAI) 和工作场所文化批判分析工具 (WCCAT) 进行初步评估,随后为内部辅导员提供外部促进和行动学习.
数据收集涉及每月报告绩效指标,系统映射和面试,以评估实施过程和结果.

主要成果:

系统映射提供了对各种NHS信托特征的见解,包括临床职责,实践范围和设备.
工作场所文化 (73.7%),领导力 (69.3%) 和评估 (75.5%) 的分数表明这些上下文因素的水平中等至高.
便利化主题集中在远程报告,积压管理,优先考虑工作列表以减少TAT违规行为和报告指标,有助于X光学家的MSKX射线报告率达到53.7%.

结论:

一个创新的促进框架成功地被采用,以提高MSK X射线报告服务的提供.
临床工作场所的环境对于实施MSKX射线报告的变化至关重要;当地冠军对于维持和升级X射线医生报告至关重要.
建议专门的资源,实践社区,强有力的领导力和利益相关者网络来持续改进,并确保持续监测服务交付绩效.

关键词:

实施便利化实施便利化报道放射学家;肌肉骨;X射线.

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