通过精益方法和RED框架重新设计患者出院:为更安全,更快速,以患者为中心的过渡提供一个模型
Sultanah Alharbi1, Lamia Elmassry2, Eidah Aljuaid3
1Department of Case Management, Al Hada Armed Forces Hospital, Taif, Saudi Arabia.
Global journal on quality and safety in healthcare
|November 14, 2025
概括
实施精益方法和重新设计出院 (RED) 工具包显著提高了医院出院效率和患者满意度. 这项质量改善计划减少了再接收率和急诊室访问,提高了整体患者护理和运营效率.
科学领域:
- 医疗保健管理的管理
- 质量改善倡议 质量改善倡议
- 患者体验 患者体验
背景情况:
- 医院出院流程在效率和有效性方面面临挑战,影响患者体验并导致再入院.
- 阿尔哈达武装部队医院在其出院过程中发现了影响患者满意度得分的低效性.
研究的目的:
- 提高医院出院过程的效率和有效性.
- 改善患者的健康结果和整体患者在出院后的体验.
主要方法:
- 一个采用精益方法和重新设计排放 (RED) 工具包的质量改进计划.
- 通过三个计划-做-检查-采取行动周期实施多组件,基于证据的干预措施.
- 实施前和实施后发现的比较.
主要成果:
- 平均放电周期时间从235.5分钟减少到82.5分钟;工艺效率从36%提高到60%.
- 患者满意度得分从84.16%上升到88.25%,出院速度和家庭护理指令得到了显著改善.
- 30天内医院再入院率从3.9%降至2.0%;7天内急诊室的访问量从9.6%降至6.1%.
结论:
- 精益方法和RED工具包有效提高了出院过程效率和患者体验.
- 这项干预措施导致医院再入院和出院后急诊室访问的数量大幅减少.
- 排放过程效率的提高与直接床位成本的降低有关.
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