医院配置导致成功实施增强恢复计划
Reiping Huang1,2, Sarah L Remer1,3, Leandra K Knapp1
1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, IL.
Annals of surgery
|April 16, 2025
概括
成功的医院增强恢复计划 (ERP) 取决于特定的当地环境. 关键因素包括组织的准备,员工的参与,以及实施的足够时间和工作量.
科学领域:
- 医疗保健管理的管理
- 手术结果研究研究.
- 实施科学 实施科学
背景情况:
- 增强恢复计划 (ERP) 对外科手术结果提供了经过验证的好处.
- 医院不有效地实施ERP是很常见的,可能是由于干预措施和当地环境之间的复杂相互作用.
研究的目的:
- 确定导致成功实施医院ERP的情境和实施条件的特定配置.
- 通过独特的因素组合来解释成功的ERP实施.
主要方法:
- 采用巧合分析,一种用于配置分析的数学方法,以确定ERP成功的条件.
- 定义成功为在ERP坚持改善的医院中排名前25%.
- 评估了实施资源,组织准备以及医院的特点.
主要成果:
- 86家医院中有26家 (30.2%) 成功实施了ERP.
- 三个关键场景解释了超过70%的成功实施.
- 成功因素各不相同,包括组织准备,员工购买,工作量和时间,这取决于医院的特点,如SES和外科手术量.
结论:
- 成功实施ERP取决于环境.
- 组织准备,员工参与,适当的工作量和足够的时间对于成功实施ERP至关重要.
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