实证研究 通过对所有住院患者应用过程路径来减少护士加班的实证研究
Satoko Tsuru1, Tetsuro Tamamoto2, Akihiro Nakao3
1The University of Tokyo.
Studies in health technology and informatics
|August 8, 2025
概括
实施新的临床支持系统显著减少了护士的加班时间和流动率. 该系统标准化了护理记录,改善了患者信息共享和医院的运营效率.
科学领域:
- 医疗信息学 医疗信息学
- 护理管理 护理管理
- 临床工作流的优化 临床工作流优化
背景情况:
- 护理记录,主要是叙事,对加班和质量/可用性挑战做出了重大贡献.
- 护理文档的效率低下会影响医院的成本和运营效率.
- 需要改进的方法来在护士和医生之间分享患者状况信息.
研究的目的:
- 分析医生标准化护理记录的价值.
- 开发和评估旨在提高护理记录质量和效率的临床支持系统.
- 评估该系统对护士加班时间和医院流动率的影响.
主要方法:
- 医生根据疾病,治疗和检查将患者分为778个过程路径.
- 合作开发数字内容,对每个路径进行优先观察项目和护理行动.
- 在一所大学医院和四所普通医院实施了临床支持系统,收集了有关加班时间和营业额率的数据.
主要成果:
- 这所大学医院的护士加班时间减少了27%.
- 一般医院的加班时间大幅减少 (11月减少47%,12月减少41%).
- 在大学医院 (从11.3%降至7.5%) 和普通医院 (例如,从18.5%降至4.8%) 的营业额均大幅下降.
结论:
- 临床支持系统有效地减少护士的加班时间.
- 该系统的实施导致医院人员流动率大幅下降.
- 标准化的护理记录和数字内容提高了患者信息共享和运营效率.
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