Gathen M, Scheidt S, Wimmer M D, Welle K, Burger C, Kabir K
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Rheinische Friedrich-Wilhelms-Universität, Venusberg-Campus 1, 53127, Bonn, Deutschland.
Unfallchirurg. 2020 Jul;123(7):526-533. doi: 10.1007/s00113-020-00811-9.
Due to limited financial and human resources, efficient planning of patient flows, operation preparations and perioperative diagnostics are of great importance. In the present study potential problems and solution strategies in the interdisciplinary collaboration between orthopedic surgeons, trauma surgeons and colleagues in anesthesiology and radiology departments are presented.
After implementation of a process management system, the data were collated and the number of patients, the utilization of external departments in the consultation, waiting times and patient adherence to appointments were analyzed. Patient satisfaction was determined using a questionnaire. In addition, the current literature was searched regarding the topic of process optimization and interdisciplinary cooperation.
The waiting time for an appointment in the outpatient clinic consultation in orthopedics and trauma at the University Hospital Bonn was between 9.15 and 11.23 days. Of the patients 10-20% from the consultation presented in the premedication outpatient department. Radiological imaging was performed in 22-28% of the cases. Patient satisfaction was recorded using a questionnaire gathering information on medical treatment, organization and infrastructure as well as treatment success. The importance of an efficient and digitally organized cooperation is generally promoted in the literature; however, there is insufficient data on the subject of process organization and economic interdisciplinary cooperation.
By implementing a process management, deficiencies in the workflow and interdisciplinary collaboration can be identified and optimized in a structured manner. This also improves patient and employee satisfaction and the quality of treatment.
由于财政和人力资源有限，高效规划患者流程、手术准备和围手术期诊断至关重要。本研究介绍了骨科医生、创伤外科医生与麻醉科和放射科同事之间跨学科合作中的潜在问题及解决策略。
实施流程管理系统后，整理数据并分析患者数量、会诊时外部科室的利用率、等待时间以及患者预约依从性。通过问卷调查确定患者满意度。此外，检索当前关于流程优化和跨学科合作主题的文献。
波恩大学医院骨科和创伤科门诊会诊的预约等待时间在9.15至11.23天之间。会诊患者中有10% - 20%出现在术前用药门诊。22% - 28%的病例进行了放射影像学检查。通过收集有关医疗、组织和基础设施以及治疗效果信息的问卷记录患者满意度。文献普遍强调高效且数字化组织的合作的重要性；然而，关于流程组织和经济跨学科合作的主题数据不足。
通过实施流程管理，可以以结构化方式识别并优化工作流程和跨学科合作中的缺陷。这也提高了患者和员工满意度以及治疗质量。
