改善创伤中心的行政流程:精益和帕雷托方法
R Harsvardhan1, A Jain1, S Singh1
1Department of Hospital Administration, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.
Journal of healthcare quality research
|November 2, 2025
概括
整合帕雷托分析和Gemba步行有效地识别和解决创伤中心的关键运营挑战,通过结构化质量改进提高医院效率. 这种方法可以在高压环境中改善服务提供.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 运营研究 运营研究
背景情况:
- 中央控制室 (CCR) 对医院运营至关重要,协调行政和运营挑战.
- 创伤中心面临着高压环境,工作流程效率低下,影响服务提供.
- 精益管理和总质量管理原则,包括帕雷托分析和Gemba Walk,为识别和解决问题提供解决方案.
研究的目的:
- 在创伤中心的中央控制室评估整合帕雷托分析和Gemba Walk的有效性.
- 识别和解决影响服务交付的高优先级运营问题.
- 通过结构化质量改进方法提高整体医院效率.
主要方法:
- 在创伤中心进行了为期七个月 (2024年4月至10月) 的干预研究.
- 第一阶段:在CCR中对注册投诉进行帕雷托分析,以确定频繁和具有重大影响的问题.
- 第二阶段和第三阶段:由多学科团队介绍Gemba Walk,然后进行干预后的帕雷托分析以衡量影响.
主要成果:
- 干预前的帕雷托分析显示,69.88%的问题源自28.6%的投诉.
- 干预后的分析显示了类似的分布 (67.77%的问题来自28.6%的投诉),但问题的性质发生了变化.
- 有针对性的Gemba Walks导致遇到问题的类型发生了变化,这表明在发生点成功解决了问题.
结论:
- 整合帕雷托分析和Gemba Walk是一个有效的策略,用于识别和解决创伤中心的运营挑战.
- 这种结构化的质量改进方法显著提高了医院的效率和服务供应.
- 调查结果强调了直接观察和多学科合作在解决复杂的医疗保健运营问题的重要性.
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