Hummel J, Evans P C, Lee H
Qualis Health, Seattle, Washington 98133, USA.
Qual Saf Health Care. 2010 Dec;19(6):531-5. doi: 10.1136/qshc.2009.035121. Epub 2010 Jun 16.
To examine the role of workflow redesign to improve medication reconciliation at four Washington State community hospital emergency departments.
Lean redesign methodology was used for workflow process mapping and redesign workshops attended by emergency department staff. Observations were made about barriers to successful operation of current medication reconciliation workflows, and ideal future process maps were developed to improve the efficacy of creating a current, complete and accurate medication list for each patient seen in the emergency department.
Ideas for an optimal workflow to generate a medication list include involving patients and utilising clerical staff to a greater extent in medication information gathering, identifying and flagging patients with missing medication information, and gathering only the medication information needed to make clinical decisions in the emergency department.
研究工作流程重新设计在华盛顿州四家社区医院急诊科改善用药核对工作中的作用。
采用精益重新设计方法对急诊科工作人员参加的工作流程映射和重新设计研讨会进行研究。观察当前用药核对工作流程成功运行的障碍，并制定理想的未来流程映射，以提高为急诊科每位就诊患者创建当前、完整且准确用药清单的效率。
生成用药清单的最佳工作流程的思路包括让患者参与进来，并在更大程度上利用文书工作人员收集用药信息，识别并标记用药信息缺失的患者，以及仅收集急诊科做出临床决策所需的用药信息。
