通过使用质量改进方法改善远程治疗入学率,改善精神病患者在急症护理服务上入院的情况
Katherine A Ritter1, Mahdieh Bodaghi1, Padmaja Pavuluri1
1From the Department of Hospital Medicine, Children's National Medical Center, Washington, DC.
Pediatric quality & safety
|February 25, 2026
概括
一家儿童医院改善了接受精神病治疗的入院患者的远程治疗机会. 这项新计划将每月的2-4个电话治疗会话增加到4个,持续5个月,增强了儿童的心理健康服务.
科学领域:
- 儿科心理健康 儿科心理健康
- 改善医疗保健质量 改善医疗保健质量
- 远程医疗服务 远程医疗服务
背景情况:
- 儿童心理健康的紧急状态在2021年被宣布.
- 儿童医院在及时提供精神病治疗方面面临着挑战.
- 电话治疗提供了一个潜在的解决方案,以改善获得护理的机会.
研究的目的:
- 为改善儿科患者入院远程治疗的机会.
- 增加完成至少一个电话治疗会话的患者数量.
- 为了维持至少三个月的远程治疗使用率的增加.
主要方法:
- 使用改善模型框架与多学科利益相关者合作.
- 开发过程图,石川图和关键驱动器图以确定改进领域.
- 实施干预措施,包括员工教育,改善沟通,并通过计划-做-研究-行动循环来加强EHR.
主要成果:
- 收到远程治疗订单的患者的中位数从每月的2个增加到4个.
- 这种利用率的增加持续了五个月,超过了最初的目标.
- 实现了新型团体远程治疗工作流程的成功实施.
结论:
- 实施和维持住院远程治疗是一个复杂的,多学科的过程.
- 员工的参与,教育和EHR临床决策支持是成功的关键.
- 质量改进项目成功提高了儿科患者的远程治疗入学率和获取率.
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