医疗辐射技术员模型:一个简化过程的程序镇静
Jennifer Meher1, Julien Meyer2, Annette Tracey3
1School of Health Services Management, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.
医学辐射技术人员 (MRT) 程序镇静模型,取代注册护士 (RN),分别减少了25%和37%的等待时间和成本,而不会影响患者的安全.
科学领域:
- 医学成像和放射学医学成像和放射学
- 医疗保健管理的管理
背景情况:
- 程序性镇静越来越常见,可能并不总是需要注册护士 (RN).
- 正在探索向替代人员配置模式的转变,以优化资源配置.
研究的目的:
- 评估医疗辐射技术人员 (MRT) 模型的影响,该模型不包括注册护士 (RN),在计算机断层扫描 (CT) 活检期间对程序镇静的影响.
- 在实施MRT模型之前和之后,比较员工利用率,交付时间和事故报告.
主要方法:
- 在一家从RN转向MRT模型的教学医院进行了一项比较研究,用于程序镇静.
- 在19个月的时间内,收集了等待时间,周转时间,成本和不良事件的数据.
主要成果:
- 在RN或MRT模型下没有报告任何不良事件.
- 等待时间减少了25% (从131分钟到98分钟),周转时间提高了2分钟 (从52分钟到50分钟).
- 每次手术的RN/MRT综合成本下降了37% (从141美元降至88美元).
结论:
- 该MRT模型证明了程序镇静的成本效益提高,而不会对护理质量产生负面影响.
- 该MRT模型显示,它有望在其他医疗机构更广泛地实施,并用于各种例行程序镇静,以提高效率和节约资源.
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