优化瘤日间病房的运营效率和患者满意度:基于HFMEA的过程重新设计研究
Ranran Li1, Jiahui Li2, Lina Song3
1Thoracic Radiation Oncology Ward 5, Affiliated Cancer Hospital of Shandong First Medical University, Jinan, Shandong Province, 250117, People's Republic of China.
Risk management and healthcare policy
|March 9, 2026
概括
医疗保健故障模式和影响分析 (HFMEA) 显著改善了瘤病房白天病房的工作流程. 这项患者安全倡议减少了风险和等待时间,提高了患者的整体满意度.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 瘤科 护理 护理专业
背景情况:
- 瘤日间病房面临着影响患者护理和安全的运营挑战.
- 优化工作流程对于有效提供癌症治疗至关重要.
研究的目的:
- 评估医疗保健故障模式和影响分析 (HFMEA) 在提高瘤病房日间运营效率方面的有效性.
- 通过系统的风险评估方法,确定改善工作流程的关键领域.
主要方法:
- 一项涉及658名患者的回顾性受控研究,将标准护理与基于HFMEA的过程重新设计进行比较.
- 干预措施包括多学科团队组建,入学评估工具,优化资源配置,数字通信和电子健康教育.
- 为了量化风险,计算了风险优先级号码 (RPN).
主要成果:
- 实施HFMEA导致显著的RPN减少率:48.01% (治疗),52.94% (评估) 和61.59% (治疗过程).
- 平均等待时间从16分钟减少到7分钟 (P<0.05),患者对等待时间,输液,教育和服务态度的满意度有所改善.
- 没有观察到对入院,技术方面或环境的满意度有显著差异.
结论:
- 基于HFMEA的工作流的优化有效地减少了医疗风险,并缩短了瘤白天病房的患者等待时间.
- 该研究强调了HFMEA在提高癌症护理机构患者满意度和运营效率方面的价值.
- 这些发现为寻求增强日间病房服务的医疗机构提供了一个可扩展的模型.
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