在日本一所大学医院内科病房使用室内定位系统跟踪日班护士的工作模式
Chifumi Otaki1, Shintaro Izumi2, Kana Fujimoto3
1Graduate School of Medicine, Kyoto University, Kyoto, JPN.
Cureus
|December 23, 2025
概括
室内定位系统 (IPS) 可以客观地测量日本的护理工作量.
科学领域:
- 护理工作负载分析
- 医疗保健技术评估 医疗保健技术评估
- 医院管理系统 医院管理系统
背景情况:
- 日本的诊断程序组合/每日支付系统 (DPC/PDPS) 要求提供高效的医疗保健.
- 缩短住院时间增加了对客观护理工作量评估的需求.
- 传统的时间运动研究资源密集,需要可扩展的替代方案,如室内定位系统 (IPS).
研究的目的:
- 通过IPS量化日班护士的基于位置的时间使用.
- 评估人员数量和工作日/周末状态对DPC/PDPS病房的病床护理和病房存在的影响.
主要方法:
- 在一个51张床位的内科病房进行前性时间运动研究.
- 使用智能手机和蓝牙低能 (BLE) 信标分析了153天班记录.
- 统计分析包括曼-惠特尼U测试和斯皮尔曼的 ρ.
主要成果:
- 护士在护士站 (36%) 和病房 (30%) 度过了大部分时间.
- 周末 (214.5分钟) 与周日 (160.8分钟) 的总病房时间显著增加.
- 更多的护士人员与每个护士的房间时间减少相关 (斯皮尔曼的 ρ = -0.94, p = 7.2 × 10−7).
- 每位患者的床边时间在工作日 (43.16分钟) 与周末 (28.14分钟) 较长.
结论:
- IPS有效量化了护士的位置和工作负载模式.
- 增加周日的工作人员与更专注的床边护理相关.
- IPS提供了一个可扩展的,数据驱动的工具,用于评估护理效率,并为DPC/PDPS下的人员政策提供信息.
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