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医院医生时间运动研究:系统性审查
Samuel Porter1, Michelle Knees1, Laura Meimari2
1Department of Medicine, Division of Hospital Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Journal of hospital medicine
|June 12, 2025
概括
最佳的医院工作流程尚不清楚. 时间和运动研究 (TMSs) 显示,直接的病人护理仅占医院医生的时间的18%,但研究质量差异很大,阻碍了进展.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 临床操作 临床操作
背景情况:
- 医院工作流程和工作负载需要优化,目前的做法不清楚.
- 时间和运动研究 (TMS) 提供了洞察力,但存在方法上的不一致性和缺乏标准化.
- 了解医院医师的时间分配对于提高效率和患者护理至关重要.
研究的目的:
- 系统地审查医院工作流程的时间和运动研究 (TMS).
- 分析医院医生直接与间接患者护理时间的趋势.
- 开发和应用一种新的质量评估工具来评估TMS研究.
主要方法:
- 在欧维德的MEDLINE,Embase和Web of Science数据库中进行全面的文献搜索.
- 包括美国一般成人医院医生报告时间分配的观察性或定量TMS研究.
- 使用从纽卡斯尔-太华规模调整的工具进行质量评估.
主要成果:
- 七项研究符合纳入标准,显示直接患者护理平均占观察时间的18% (范围:13%-25%).
- 观察到研究质量的显著变化 (得分为2-5/8星),排除了统计趋势分析.
- 在包括的研究中,不同环境和班次工作的代表性有限.
结论:
- 标准化的TMS方法对于准确的医院工作流评估和纵向比较至关重要.
- 一个新的质量评估工具强调了在TMS研究中改善研究设计的必要性.
- 未来的研究应该结合验证的工具,解决多任务处理,并探索超出生产率的指标.
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