通过重新设计工作流程来减少医生倦怠:一种质量改进倡议
Jennifer Goebel1, Jessica Sidle1, Alma Aspiras2
1Emergency Department, Northwell Health, New Hyde Park, USA.
Cureus
|July 14, 2025
概括
医疗保健工作人员的倦怠通常是由行政任务引起的. 通过重新设计3122表格工作流程,减少了医生的工作量,通过跨学科合作改善了员工福利和患者护理.
科学领域:
- 医疗保健管理的管理
- 职业健康 职业健康 职业健康
- 临床工作流的优化 临床工作流优化
背景情况:
- 员工的福祉对于提供高质量的医疗保健至关重要.
- 医生倦怠常常与过度的行政职责和低效的工作流相关.
- 亨廷顿医院认为,办公工作负担,特别是电子健康记录 (EHR) 和手动文档,是医院工作人员的主要压力因素.
研究的目的:
- 评估行政负担对医院医师倦怠的影响.
- 实施基于证据的战略,以改善员工的福祉.
- 为了减少医生工作负担,重新设计3122退院表的工作流程.
主要方法:
- 给医院医生使用马斯拉赫燃烧库存 (MBI) 来评估燃烧水平.
- 组建了一个多学科的健康学习社区,以确定工作流的改进.
- 与社会工作和案件管理合作,重新分配3122表格的任务,整合电子医疗记录 (EMR) 数据.
主要成果:
- 工作负担被确定为医院医生中倦怠的主要驱动因素 (83%的MBI反应率).
- 在重新设计工作流程后,76%的医院医生报告工作量减少.
- 76%的医院医生支持未来福利倡议的持续合作.
结论:
- 有针对性的工作流修改可以显著提高临床医生的幸福感.
- 将行政任务重新分配给合适的团队成员,并使用EMR,可以减少医生负担并提高效率.
- 跨学科的合作对于开发可持续的解决方案来改善医疗保健工作人员的福祉和患者安全至关重要.
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