开发和实施一个新的过程,以提高紧急直接入院的安全性
Jessica Hart1,2, Elizabeth Kuhn1, Ellen Nord3
1Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Hospital pediatrics
|September 9, 2025
概括
一个新的紧急直接入院 (UDA) 过程显著增加了UDA的使用,并减少了12小时内重症监护室 (ICU) 的转移. 这种简化方法提高了患者的安全性和医院的效率.
科学领域:
- 医疗保健管理的管理
- 优化患者流量优化
- 提高儿科的质量改善
背景情况:
- 直接入院策略旨在缓解急诊室拥堵,提高患者体验,降低医疗保健支出.
- 有机会标准化紧急直接接收 (UDA) 流程,以提高安全性和效率.
- 制定了一个SMART (具体,可衡量,可实现,相关,有时间限制) 的目标,以增加UDA并减少重症监护病房 (ICU) 的转移.
研究的目的:
- 评估新实施的标准化紧急直接接收 (UDA) 流程的影响.
- 为了评估预期不到的ICU转移的变化,在入院后的12小时内实施.
- 测量UDA流程对整体医院效率和患者安全的影响.
主要方法:
- 在UDA流程实施之前和之后,在入院12小时内预期不到的ICU转移的比较分析.
- 追踪过程措施,包括UDA订单和入场数量.
- 监控平衡措施,如快速响应电话在入院后12小时内.
主要成果:
- 在实施后,记录了2950个UDA订单.
- 在ICU转移之前,UDA入院的平均数量从41.4上升到162.6.6.
- 推临床医生报告说,新的过程是用户友好和优于以前的系统.
结论:
- 标准化的UDA流程成功提高了患者的安全性和运营效率.
- 增加UDA利用率和减少ICU转移是关键结果.
- 基本要素包括定义的临床标准,电子健康记录与决策支持的整合,自动通知,改善的部门间沟通,以及质量指标仪表板.
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