Shahnazarian Vahe, Mehta Parag
New York Methodist Hospital, USA.
BMJ Qual Improv Rep. 2016 May 10;5(1). doi: 10.1136/bmjquality.u208549.w4294. eCollection 2016.
At a community hospital in Brooklyn, New York, the process for ordering add-on testing to drawn blood tubes involved filling out a paper sheet, then faxing and bulleting that sheet to the lab. It was a very inefficient, cumbersome, and unsatisfactory way of completing the process. In light of this, an EMR intervention was implemented in which the add-on order was placed as an EMR order. The study spanned over almost five years, over a year of which was post-intervention. There was a statistically significant increase in the number of add-on orders being placed as a result of the intervention. This has greatly improved housestaff satisfaction with the overall process. In conclusion, the project was a great success and met its goals of simplifying a difficult and cumbersome process while increasing user satisfaction.
在纽约布鲁克林的一家社区医院，为已采集血样的试管安排追加检测的流程是先填写一张纸质表格，然后将该表格传真并发送至实验室。这是完成该流程非常低效、繁琐且不尽人意的方式。鉴于此，实施了一项电子病历干预措施，即将追加检测医嘱作为电子病历医嘱下达。该研究历时近五年，其中一年多是在干预措施实施之后。干预措施实施后，追加检测医嘱的数量有统计学意义的显著增加。这极大地提高了住院医师对整个流程的满意度。总之，该项目非常成功，实现了简化困难且繁琐流程并提高用户满意度的目标。
