Clinical Services Group, Sky Ridge Medical Center, Carepoint, USA.
J Healthc Manag. 2012 May-Jun;57(3):167-80; discussion 180-1.
Emergency departments (EDs) in the United States are expected to provide consistent, high-quality care to patients. Unfortunately, EDs are encumbered by problems associated with the demand for services and the limitations of current resources, such as overcrowding, long wait times, and operational inefficiencies. While increasing the effectiveness and efficiency of emergency care would improve both access and quality of patient care, coordinated improvement efforts have been hindered by a lack of timely access to data. The ED Dashboard and Reporting Application was developed to support data-driven process improvement projects. It incorporated standard definitions of metrics, a data repository, and near real-time analysis capabilities. This helped acute care hospitals in a large healthcare system evaluate and target individual improvement projects in accordance with corporate goals. Subsequently, there was a decrease in "arrival to greet" time--the time from patient arrival to physician contact--from an average of 51 minutes in 2007 to the goal level of less than 35 minutes by 2010. The ED Dashboard and Reporting Application has also contributed to data-driven improvements in length of stay and other measures of ED efficiency and care quality. Between January 2007 and December 2010, overall length of stay decreased 10.5 percent while annual visit volume increased 13.6 percent. Thus, investing in the development and implementation of a system for ED data capture, storage, and analysis has supported operational management decisions, gains in ED efficiency, and ultimately improvements in patient care.
美国的急诊部门（EDs）预计将为患者提供一致的、高质量的医疗服务。然而，ED 部门面临着与服务需求和当前资源限制相关的问题，如过度拥挤、长时间等待和运营效率低下等。虽然提高紧急护理的效果和效率可以改善患者护理的可及性和质量，但由于缺乏及时获取数据的机会，协调一致的改进努力受到了阻碍。ED 仪表板和报告应用程序的开发是为了支持数据驱动的流程改进项目。它采用了指标的标准定义、数据存储库和近乎实时的分析功能。这有助于大型医疗系统中的急性护理医院根据公司目标评估和针对个别改进项目。随后，“到达接待”时间——从患者到达到医生联系的时间——从 2007 年的平均 51 分钟下降到 2010 年的目标水平，即不到 35 分钟。ED 仪表板和报告应用程序还促进了 ED 效率和护理质量的其他措施的停留时间和其他措施的改进。在 2007 年 1 月至 2010 年 12 月期间，整体停留时间下降了 10.5％，而年度就诊量增加了 13.6％。因此，投资开发和实施 ED 数据捕获、存储和分析系统，支持了运营管理决策、ED 效率的提高，并最终改善了患者护理。
