精益管理方法在医院心脏病学咨询流程再造中的应用：来自那不勒斯 AORN"A. Cardarelli"的报告。
Lean Management Approach for Reengineering the Hospital Cardiology Consultation Process: A Report from AORN "A. Cardarelli" of Naples.
机构信息
A.O.R.N. "Antonio Cardarelli", 80131 Naples, Italy.
Department of Electrical Engineering and Information Technology, University of Study of Naples "Federico II", 80125 Naples, Italy.
出版信息
Int J Environ Res Public Health. 2022 Apr 8;19(8):4475. doi: 10.3390/ijerph19084475.
BACKGROUND
Consultations with specialists are essential for safe and high-quality care for all patients. Cardiology consultations, due to a progressive increase in cardiology comorbidities, are becoming more common in hospitals prior to any type of treatment. The appropriateness and correctness of the request, the waiting time for delivery and the duration of the visit are just a few of the elements that can affect the quality of the process.
METHODS
In this work, a Lean approach and Telemedicine are used to optimize the cardiology consultancy process provided by the Cardiology Unit of "Antonio Cardarelli" Hospital of Naples (Italy), the largest hospital in the southern Italy.
RESULTS
The application of corrective actions, with the introduction of portable devices and telemedicine, led to a reduction in the percentage of waiting for counseling from 29.6% to 18.3% and an increase in the number of patients treated.
CONCLUSIONS
The peculiarity of the study is to apply an innovative methodology such as Lean Thinking in optimizing the cardiology consultancy process, currently little studied in literature, with benefits for both patients and medical staff.
背景
为确保所有患者获得安全、高质量的医疗服务，与专家进行会诊至关重要。由于心内科合并症的逐渐增加，心内科会诊在任何治疗之前在医院中变得越来越常见。请求的适当性和正确性、等待交付的时间和就诊时间只是影响流程质量的几个要素。
方法
在这项工作中，采用精益方法和远程医疗来优化那不勒斯“Antonio Cardarelli”医院心内科提供的心脏病学咨询流程（意大利），该医院是意大利南部最大的医院。
结果
通过引入便携式设备和远程医疗，采取纠正措施，将咨询等待的百分比从 29.6%降低到 18.3%，并增加了治疗的患者数量。
结论
这项研究的特点是应用创新的方法，如精益思维，来优化心脏病学咨询流程，这在文献中研究较少，但对患者和医务人员都有好处。
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