讨厌轮班缺口:我爱 (守护者) 天使相反 - 一个成功的备用计划,以防止人员缺口
Nathanael Macdonald1, Corina Palmaeda2, Matthew Solan2
1Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK Njmacdonald@outlook.com.
BMJ leader
|July 22, 2025
概括
一个新的"守护天使"备用系统减少了空缺的医院班次,提高了医生的士气和患者护理. 这一举措为机构员工提供了一种经济有效的替代方案,增强轮班管理.
科学领域:
- 医疗人员解决方案 医疗人员解决方案
- 医疗保健管理的管理
- 改善患者护理的改善
背景情况:
- 最后一分钟的轮班差距会对工作人员的士气和患者护理质量产生负面影响.
- 在需求高峰期,依靠机构员工提供紧急服务往往是不够的.
- 开发了一个新的系统,以解决持续的员工短缺问题并改善工作条件.
研究的目的:
- 评估"守护天使"备用系统在减轻未填补的医院班次方面的有效性.
- 评估备用系统对初级医生的士气和感知支持的影响.
- 将备用系统的结果与传统方法来弥补最后一刻的差距进行比较.
主要方法:
- 在三个周末实施"守护天使"备用系统.
- 在系统实施之前和之后,对轮班覆盖率的比较分析.
- 在线调查分发给参与该计划的初级医生,以收集反.
主要成果:
- 在前一年,发生了19个迟到的空白,只有5个成功填补.
- "守护天使"系统促进了29个备用班,其中16%转换为全班.
- 一项调查显示,95%的参与初级医生认为该计划有益.
结论:
- 解决人员缺口对于维持员工福祉和确保最佳患者治疗结果至关重要.
- "守护天使"计划增强了参与医生的价值感和支持.
- 该系统与代理机场相比,是一个潜在的成本效益高的解决方案,尽管最初的投资很少.
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