减少急性医疗单位不必要的凝血查测试的经济和环境影响:质量改进项目
Magda Nasher1, Natalie Beveridge1, Stacy Burrows1
1Acute Medical Unit, Whiston Hospital, Mersey and West Lancashire Teaching Hospitals NHS Trust, Warrington Road, Prescot, Merseyside, L35 5DR England, United Kingdom.
Postgraduate medical journal
|February 11, 2026
概括
实施数字决策促使急性医疗服务中显著减少不必要的凝血测试. 这一举措削减了成本,节省了员工的时间,降低了碳排放,支持医疗保健中的环境可持续性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 临床诊断 临床诊断 临床诊断
- 医学中的环境可持续性
背景情况:
- 在急性护理机构中,不适当的凝血测试很普遍,导致效率低下,成本增加和环境损害.
- 基线审计显示,很大一部分凝血查请求缺乏明确的临床适应症.
研究的目的:
- 在12个月内将急性医疗服务中不必要的凝血查减少90%.
- 将临床实践与国家卫生服务 (NHS) 的零净目标和机构绿色计划目标保持一致.
主要方法:
- 使用了改善模型框架,使用了三个计划-做-研究-行动周期.
- 实施数字干预,包括修订的分拣订单集和电子订单集与临床医生决策提示.
- 在基线和干预后收集数据,以测量不适当的测试率,成本节省,员工时间和碳减排.
主要成果:
- 不适当的测试率从基线的34%-39%降至不同急性医疗单位的干预后10%-20%.
- 预计每年节省的成本包括减少44,000次测试,减少13万英,减少367个工作小时,减少3.6二氧化碳.
- 实验室工作量和塑料垃圾的大量减少.
结论:
- 将数字决策提示嵌入到电子订单系统中有效地减少了不必要的诊断测试.
- 这种可扩展,低成本的干预措施使临床实践与可持续性目标保持一致,为减少不必要的诊断提供了一个模型.
- 该倡议展示了数字增强如何改善医疗保健中的临床质量,效率和环境结果.
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