提高医院吞吐量:一个多学科的方法,以促进在儿科设置的出院
Meghan W Harrison1, Adolfo L Molina2, Chang L Wu3
1From the MSHA, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL.
Pediatric quality & safety
|February 21, 2025
概括
儿童医院可以通过将下午出院转移到非高峰时间来改善患者流动. 这一策略增加了8%的非高峰期出院,但没有影响患者的满意度或停留时间.
科学领域:
- 儿科 儿科 儿科
- 医院管理局 医院管理局
- 医疗保健操作 医疗保健操作
背景情况:
- 流行病后的呼吸道病毒疾病急剧增加使儿科住院患者的能力受到压力.
- 午后出院集群被确定为患者吞吐量的重大瓶.
- 提高出院效率对于优化医院资源利用至关重要.
研究的目的:
- 增加在下午高峰时间 (上午11点至下午5点) 外出院的患者的百分比.
- 为了提高医院吞吐量效率和床位可用性.
- 在患者在医学上准备好时,促进及时出院.
主要方法:
- 一个跨学科委员会分析了出院数据 (2021年1月至2022年4月),以确定高峰时间.
- 计划-做-研究-行动循环被用来试验针对排放时间的干预措施.
- 统计过程控制图 (p图) 监测了主要结果:非高峰排放.
主要成果:
- 非高峰排放的百分比 (下午5点至上午11点) 从28%上升到36%.
- 上午11点前的出院量从7%增加到19%;早晨的订单 (上午9点前) 从4%增加到16%.
- 没有观察到平均停留时间,出院周转时间或患者满意度的显著变化.
结论:
- 干预措施成功地增加了在非高峰时间出院的儿科患者比例.
- 该倡议促进了患者在医疗清理后更早的出院.
- 工作流调整和利益相关者参与是成功实施的关键.
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