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闭环管理——医疗系统改进的试点研究。

Closing the Loop-A Pilot in Health System Improvement.

机构信息

Department of Radiology, University of Kansas, Kansas City, KS.

Department of Radiology, University of Kansas, Kansas City, KS.

出版信息

Curr Probl Diagn Radiol. 2020 Sep-Oct;49(5):322-325. doi: 10.1067/j.cpradiol.2020.02.006. Epub 2020 Mar 2.

DOI:10.1067/j.cpradiol.2020.02.006
PMID:32220539
Abstract

A significant number of patients are reported to not receive timely completion of their recommended follow-up intervention following the interpretation of their imaging studies, contributing to patient deaths resulting from inaccurate or delayed diagnosis. Though automated critical test notification systems and computerized communication mechanisms currently exist, many institutions are discovering that there continue to be gaps in the completion of follow-up recommendations. Herein, we describe how we developed and implemented a closed-loop program dedicated to identifying such gaps and ensuring patients were aware of and received appropriate follow-up.

摘要

大量报告显示,在对影像研究进行解读后,许多患者没有及时完成推荐的随访干预,导致因不准确或延迟诊断而导致患者死亡。虽然目前存在自动化关键测试通知系统和计算机化通信机制,但许多医疗机构发现,在完成随访建议方面仍然存在差距。在此,我们介绍了如何开发和实施一个闭环程序,专门用于识别这些差距,并确保患者了解并接受适当的随访。

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