目标驱动的定时目标工作流程:优化紧急部门到住院患者的工作流程
Journal of emergency nursing
|April 26, 2025
概括
在急诊室 (ED) 实施一个以目标为导向,定时的工作流程,大大减少了患者的等待时间和整体停留时间. 这种增强的过程提高了ED效率和患者流动.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 紧急医疗 紧急医疗
背景情况:
- 紧急部门 (ED) 的住院入院是导致患者吞吐量延迟的主要原因.
- 在ED录取过程中的低效率可能表明更广泛的设施范围的运营问题.
研究的目的:
- 为了评估一个增强的,目标驱动的,针对急诊室 (ED) 住院患者的定时目标工作流程的有效性.
- 分析新工作流对时间,沟通和升级流程的影响.
主要方法:
- 采用了9个月的时间序列准实验设计.
- 分析了7478例急诊室住院病人的数据 (2022年10月至2023年6月).
- 一个新的工作流程于2022年11月实施.
主要成果:
- 要求/分配床位 (113.5-75分钟) 和分配/准备床位 (127-81分钟) 的中位持续时间减少.
- 总体而言,ED停留时间从8.90小时减少到7.70小时.
- "床上准备/护士报告"阶段占结果变化的38.8%,持续时间略有增加 (31-32分钟).
结论:
- 通过目标驱动,定时的目标方法来标准化ED住院病人的工作流程,提高了效率.
- 专注于时间,直接沟通和升级显著改善ED患者入院过程.
- 这种工作流的优化显示了改善紧急部门整体绩效的前景.
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