什么时候是太早? triaging 住院患者 胸外心电图 订单 减少 周转时间
Kenny Vongbunyong1, Robert Tungate2, Fjolla Muqolli3
1Department of Medicine, Division of Cardiology, University of California Irvine, Orange, California, USA.
实施电子医疗记录干预有效地减少了不适当的待出院 (PD) 跨胸腔心电图 (TTE) 订单. 这改善了TTE工作流程,并减少了图像采集时间.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
背景情况:
- 在第三级护理中心,住院患者越来越多的TTE订单增加了图像采集时间和住院时间.
- 待处理 (PD) 的TTE订单从2018年的6.8%大幅增加到2023年的22.9%,引发了人们对绕过队列的不适当利用的担忧.
研究的目的:
- 评估电子病历 (EMR) 干预措施在减少不适当的PD TTE订单方面的有效性.
- 提高住院TTE订购和图像采集工作流程的效率.
主要方法:
- 在最初的教育传单活动未能改善PD TTE订单标准后,实施了EMR系统干预.
- 干预涉及系统层面的变化,以强制执行TTE命令决策.
主要成果:
- 通过EMR干预,PD TTE订单的比例减少了14.4%.
- 在干预后的几个月内,常规TTE图像采集的平均时间减少了49.6%.
- 教育传单在改善PD TTE订购标准方面没有效果.
结论:
- 在执行适当的TTE订单方面,EMR系统干预,特别是硬停止,比教育传单更有效.
- 实施EMR硬停止优化了住院TTE工作流程,提高了效率.
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