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经皮腔内血管成形术(PTA)和支架置入过程在大学附属医院介入放射科的映射。

Process mapping of PTA and stent placement in a university hospital interventional radiology department.

机构信息

Charité - University Medicine Berlin, Charité Platz 1, 10117, Berlin, Germany,

出版信息

Insights Imaging. 2012 Aug;3(4):329-36. doi: 10.1007/s13244-012-0147-2. Epub 2012 Feb 26.

DOI:10.1007/s13244-012-0147-2
PMID:22695945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3481077/
Abstract

OBJECTIVE

To apply the process mapping technique in an interdisciplinary approach in order to visualize, better understand, and efficiently organize percutaneous transluminal angioplasty (PTA) and stent placement procedures in a university hospital's interventional radiology department.

METHODS

After providing an overview of seven established mapping techniques for medical professionals, the process mapping technique was chosen and applied in an interdisciplinary approach including referrers (physicians, nurses, and other staff in referring departments, e.g., vascular surgery), providers (interventional radiologists, nurses, technicians, and staff of the angiography suite), and specialists of the hospital's controlling department.

RESULTS

A generally binding and standardized process map was created, describing the entire procedure for a patient in whom the radiological intervention of PTA or stent treatment is contemplated from admission to the department of vascular surgery until discharge after successful treatment. This visualization tool assists in better understanding (especially given natural staff fluctuation over time) and efficiently organizing PTA and stent procedures.

CONCLUSION

Process mapping can be applied for streamlining workflow in healthcare, especially in interdisciplinary settings. By defining exactly what a business entity does, who is responsible, to what standard a process should be completed, and how the success can be assessed, this technique can be used to eliminate waste and inefficiencies from the workplace while providing high-quality goods and services easily, quickly, and inexpensively.

MAIN MESSAGES

Process mapping can be used in a university hospital's interventional radiology department. • Process mapping can describe the patient's entire process from admission to PTA/stent placement until discharge. • Process mapping can be used in interdisciplinary teams (e.g., referrers, providers, and controlling specialists). • Process mapping can be used in order to more efficiently organize PTA and stent placement procedures. • Process mapping can assist in better understanding and efficiently organizing procedures in standardized fashion.

摘要

目的

应用流程映射技术进行跨学科方法,以可视化、更好地理解并有效地组织大学医院介入放射科的经皮腔内血管成形术(PTA)和支架置入术。

方法

在为医学专业人员概述了七种已建立的映射技术之后,选择并应用了流程映射技术,该技术包括了转诊医生(如血管外科医生、护士和其他转诊部门的工作人员)、提供者(介入放射科医生、护士、技术人员和血管造影室工作人员)以及医院控制部门的专家。

结果

创建了一个普遍适用且标准化的流程图,描述了从血管外科病房入院到成功治疗后出院,考虑对患者进行 PTA 或支架治疗的整个放射学干预过程。这个可视化工具有助于更好地理解(特别是考虑到随着时间的推移自然的员工流动)和有效地组织 PTA 和支架手术。

结论

流程映射可用于简化医疗保健中的工作流程,特别是在跨学科环境中。通过明确定义一个业务实体的具体工作内容、负责人、流程应达到的标准以及如何评估成功,该技术可用于消除工作场所的浪费和低效率,同时轻松、快速且经济高效地提供高质量的商品和服务。

主要信息

流程映射可用于大学医院的介入放射科。

  • 流程映射可描述患者从入院到 PTA/支架置入直至出院的整个过程。

  • 流程映射可用于跨学科团队(如转诊医生、提供者和控制专家)。

  • 流程映射可用于更有效地组织 PTA 和支架置入术。

  • 流程映射可帮助以标准化的方式更好地理解和有效地组织手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2684/3481077/c8fd4b26ac2b/13244_2012_147_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2684/3481077/c8fd4b26ac2b/13244_2012_147_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2684/3481077/c8fd4b26ac2b/13244_2012_147_Fig1_HTML.jpg

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