Davies Mike, Panchal Sonia
University Hospital Aintree.
BMJ Qual Improv Rep. 2014 Oct 16;3(1). doi: 10.1136/bmjquality.u203210.w1957. eCollection 2014.
One of the key roles of a junior doctor is co-ordinating the care of their patients and communicating with different departments or specialties within the hospital. To do this, junior doctors often spend a lot of time on a daily basis contacting the hospital switchboard in order to locate a required bleep/extension/fax number, or trying to navigate an intranet based directory which can be difficult to use. We aimed to improve this task for junior doctors as a pilot project for engaging junior doctors in service improvement. Our multi-disciplinary team, led by junior doctors and with the support of the Trust, produced and implemented lanyard (MediDial) cards containing common and relevant (fax, bleep, and extension) numbers for use by junior doctors. Through the introduction of our MediDial cards we not only reduced the frequency junior doctors needed to contact the switchboard on a daily basis, but also the length of time spent waiting to speak to an operator. The MediDial cards were also found to be time saving and more useful than the previous intranet based database. Since the introduction of the MediDial cards, the project has been rolled out across the Trust and presented at Grand Rounds as an example of junior doctor led service improvement, aiming to encourage trainees to engage with quality improvement projects.
初级医生的关键职责之一是协调患者护理，并与医院内不同科室或专科进行沟通。为此，初级医生每天常常要花大量时间联系医院总机，以查找所需的传呼号码/分机号码/传真号码，或者尝试在难以使用的基于内联网的目录中查找。作为让初级医生参与服务改进的一个试点项目，我们旨在改善初级医生的这项工作。我们的多学科团队由初级医生领导，并在信托基金的支持下，制作并实施了挂绳式（MediDial）卡片，上面印有初级医生常用的相关（传真、传呼、分机）号码。通过引入我们的MediDial卡片，我们不仅减少了初级医生每天联系总机的频率，还缩短了等待与接线员通话的时间。结果还发现，MediDial卡片比以前基于内联网的数据库更节省时间、更有用。自引入MediDial卡片以来，该项目已在整个信托基金范围内推广，并在全院大查房时作为初级医生主导的服务改进范例进行展示，旨在鼓励实习生参与质量改进项目。
