优化排放室效率:通过创新的方法进行质量改进的倡议
Michaele Kennedy1, Lauren A Wolff, Joan Kennedy
1Author Affiliations: Patient Care Services, UPMC Presbyterian (Mss M. Kennedy, Wolff, Smith-Fortney), Capacity Management, UPMC Physician Operations & Professional Services (Ms J. Kennedy), and Acute & Tertiary Care Department, University of Pittsburgh (Dr Fennimore), Pittsburgh, Pennsylvania.
Journal of nursing care quality
|May 9, 2025
概括
实施患者出院休息室显著减少了医院等待时间. 这一举措使急诊室 (ED) 的等待时间平均减少了192分钟,改善了医院的整体吞吐量.
科学领域:
- 医疗保健管理的管理
- 质量改善倡议 质量改善倡议
- 医院运营 医院运营
背景情况:
- 患者出院休息室已经使用了30多年来,以提高医院的吞吐量.
- 不一致的提供者,员工和患者参与历史上阻碍了广泛实施.
研究的目的:
- 通过减少患者出院的延迟,减少急诊室 (ED) 患者等待时间.
- 通过有针对性的干预来优化医院患者流动.
主要方法:
- 采用了实施前/后质量改进设计.
- 关键策略包括由未经许可的患者护理技术人员专门聘用人员,患者识别,及时药物输送和跨专业教育.
主要成果:
- 排放室的使用率增加了12.5%.
- 从出院命令到患者离开住院病房的时间减少了14分钟.
- 紧急服务部门 (ED) 的等待时间平均减少了192分钟.
结论:
- 实施的策略在改善患者吞吐量方面取得了显著的积极成果.
- 这些创新方法为其他寻求减少等待时间和提高效率的医疗保健组织提供了可扩展的模型.
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