改善多个子专业的同事连续性诊所:质量改进倡议
Matthew Rees1, Rachel Bernstein2, Carly Meredith3
1Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Pediatric blood & cancer
|December 27, 2025
概括
儿科血液学/瘤学研究员对其连续性诊所教育和工作流程的满意度有所提高. 多学科的干预措施成功地改善了学习环境和日常运营.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 儿科血液学/瘤学
背景情况:
- 连续性诊所对于研究生医学培训至关重要,但面临着影响学习的挑战.
- 儿科血液学/瘤学研究员报告说,他们对诊所的结构和工作流程不满.
- 目前的诊所设置涉及多个子专业诊所,可能会分散教育经验.
研究的目的:
- 为了提高同学对教育和工作流程的满意度,在一个子专业连续性诊所.
- 从基线的2.3 (教育) 和1.8 (工作流程) 的满意度得分提高到3.5.的目标.
- 在临床环境中确定和实施有效的干预措施.
主要方法:
- 一个多学科团队开发并实施了五个关键干预措施.
- 干预措施包括临床导师,定义临床团队角色,调整患者访问,时间表模板和小组管理.
- 计划-做-研究-行动周期被用于代的改进,定期进行满意度调查.
主要成果:
- 同学对教育经验的满意度显著增加,从2.3增加到4.1.
- 同学对诊所工作流程的满意度显著增加,从1.8增加到3.5.
- 教师和工作人员的满意度保持稳定,表明对其他利益相关者没有负面影响.
结论:
- 多学科干预有效地改善了连续性诊所的同事满意度.
- 在教育经验和工作流程方面都取得了持续的改进.
- 实施的战略为加强类似培训计划提供了一个模型.
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