Houston James, Barker William, Clarke Jonathan, Mew Ed
NHS.
BMJ Qual Improv Rep. 2014 Jan 29;2(2). doi: 10.1136/bmjquality.u200583.w651. eCollection 2014.
Junior doctors are too often frustrated by not being able to quickly find information for how to make referrals, book investigations and contact other professionals at hospital. To make matters worse, much of the knowledge gained by doctors throughout the year is lost during the August rotation. There is an unmet need for retaining such knowledge, in order to facilitate a smoother and safer handover. We set up the "Doctors Directory" at our trust; a website run by junior doctors, providing specific, up-to-date information relevant to other junior doctors within the trust. Whilst providing day-to-day information, it also contains a "survival guide" for each hospital firm. We surveyed junior doctors before and after the implementation of this site. 81% of FY1s surveyed have used the site. Of the doctors that had used the site, 94% found it helpful with a mean self reported time saving of 39 minutes a day. Whilst still in its infancy, the site now has mobile access, and has an average of 60 hits a day. Quality improvement projects such as this are readily scalable to other hospitals and have enabled junior doctors to waste less time finding how to do jobs and more time actually getting them done.
初级医生常常因无法快速找到有关如何进行转诊、预约检查以及联系医院其他专业人员的信息而感到沮丧。更糟糕的是，医生们一整年积累的许多知识在8月的轮值期间都丢失了。为了实现更顺畅、更安全的交接，保留这些知识的需求尚未得到满足。我们在我们的信托机构设立了“医生名录”；这是一个由初级医生运营的网站，提供与信托机构内其他初级医生相关的具体、最新信息。在提供日常信息的同时，它还包含每个医院科室的“生存指南”。我们在该网站实施前后对初级医生进行了调查。接受调查的第一年住院医生中有81%使用过该网站。在使用过该网站的医生中，94%认为它很有帮助，平均每人每天节省39分钟。虽然该网站仍处于起步阶段，但现在可以通过手机访问，每天平均有60次点击量。这样的质量改进项目很容易推广到其他医院，使初级医生能够减少寻找工作方法所浪费的时间，而将更多时间用于实际完成工作。
