快速循环QI方法确保在2022年呼吸系统激增期间及时提供儿科紧急护理
Alexandria Wiersma1,2, Anthony Watkins2, Traci Ertle2
1Pediatrics, Section of Emergency Medicine, University of Colorado System, Aurora, Colorado, USA alexandria.wiersma@childrenscolorado.org.
Emergency medicine journal : EMJ
|April 3, 2025
概括
儿科急诊室 (PED) 和急诊室 (PUC) 面临着前所未有的患者数量. 快速循环质量改进方法成功减少了等待时间和改善了患者流量,从而带来了持续的运营效率.
科学领域:
- 儿科急诊医学 儿科急诊医学
- 改善医疗保健质量 改善医疗保健质量
- 公共卫生准备 公共卫生准备
背景情况:
- 儿科急诊室 (PED) 和急诊室 (PUC) 在2022年秋季经历了创纪录的患者数量,类似于成人COVID-19流行病的激增.
- 漫长的等待时间和患者登机成为重大挑战,影响了医疗服务的提供.
研究的目的:
- 适应和实施快速循环质量改善 (RCQI) 策略,以管理前所未有的PED和PUC患者激增.
- 为了减轻漫长的等待时间,并在儿科医疗保健需求高峰期改善患者流动.
主要方法:
- 一个多学科团队使用RCQI方法来识别和实施干预措施.
- 关键策略包括扩大住院患者的容量,为PUCs创造新的物理空间,实施提供者摄入,并转换PED床位用于住院患者.
主要成果:
- 没有被看到的 (LWBS) 率从40%的峰值下降到5%以下.
- 儿科紧急护理 (PUC) 的门到服务器的时间从158分钟提高到106分钟.
- 儿科急诊室 (PED) 门到供应商的时间和PUC逗留时间 (LOS) 在整个激增期间都保持不变.
结论:
- 通过增加人员和物理空间,RCQI使我们能够迅速有效地应对前所未有的患者数量.
- 实施的策略显著提高了LWBS率和PUC门到供应商的时间.
- 获得的效率带来了持续的改进,在激增后的历史性较短的LOS和门到供应商时间.
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