改善临床接入紧急泌尿器科转诊
Sophia Prendiville1, Stephanie Justo2, Kathy Luong2
1Department of Urology, Stanford University School of Medicine, Stanford, CA.
Urology
|September 10, 2025
概括
紧急泌尿器科转诊的等待时间显著减少,从59.0天减少到21.6天. 通过质量改善倡议,改善了急需泌尿病的治疗机会.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 及时评估泌尿病状况至关重要,但由于临床安排挑战,往往会延迟.
- 紧急泌尿器科转诊的医疗保健可用性仍然是一个重要问题.
- 由于系统性延迟,现有的及时泌尿外科护理指南经常没有得到满足.
研究的目的:
- 为了改善通用泌尿外科诊所的访问,紧急转诊的患者.
- 为了减少紧急泌尿病状况的患者护理延迟.
- 实施和评估改善紧急泌尿器科预约等待时间的干预措施.
主要方法:
- 一项前性质量改进研究利用A3框架在门诊泌尿病诊所 (2023年6月至2024年5月).
- 干预措施包括定义紧急诊断,简化转诊模板,分配紧急诊所时间,改善利益相关方沟通.
- 该研究的重点是减少紧急泌尿器科转诊的等待时间.
主要成果:
- 紧急转诊的平均等待时间从基线59.0天下降到干预后21.6天.
- 在10天内看到的紧急患者数量从每周3个增加到8个 (P < .01).
- 这些改善并没有对例行泌尿器科转诊的等待时间产生负面影响.
结论:
- 及时访问的障碍包括不清楚的紧急性定义,资源分配不足和沟通不良.
- 简化推流程解决这些障碍,大大减少紧急泌尿病患者的护理延误.
- 实施的质量改善策略导致紧急泌尿器科护理等待时间的可持续减少.
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