改善菲律宾第三级医院的紧急转诊:一个质量改善倡议
1Health Sciences Program, Ateneo de Manila University, Quezon City, PHL.
Cureus
|July 21, 2025
概括
一项质量改善计划显著减少了63%的紧急转诊时间,并将文件合规性提高到98%. 这项研究强调了简化医院患者转移的有效策略.
科学领域:
- 医疗保健管理的管理
- 提高医学的质量 改善医学的质量
- 医院运营 医院运营
背景情况:
- 从门诊到急诊部门的紧急转诊至关重要,但往往面临延误和文件问题.
- 转诊过程中的低效率会影响患者的护理和医院的工作流程.
- 菲律宾的一家高等公立医院发现需要优化其紧急转诊系统.
研究的目的:
- 改善紧急转诊过程中的转诊周转时间和文件合规性.
- 实施和评估一个结构化的质量改进计划.
- 解决患者从门诊转移的延迟和文档缺口.
主要方法:
- 一个追溯的前后质量改进研究设计.
- 审计了20个干预前和20个干预后的转诊情况.
- 干预措施包括协议培训,分拣住院人员分配,结构化认可,护理协调和标准化检查清单.
主要成果:
- 平均推时间减少了63%,从43.05分钟降至15.75分钟.
- 文件合规性从75.15%增加到98%,具有完整的生命体征,病史和检查笔记.
- 干预后,所有病例都有正式的认可,工作人员报告了提高意识.
结论:
- 简单的工作流重新设计,员工参与度和明确的角色显著提高了推效率和文档.
- 低成本的干预措施可以显著改善公共医院环境中的紧急转诊.
- 成功的方法可以复制并适应各种医院内转移,需要整合到常规操作中.
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