Department of Pediatric Critical Care, Medical College of Wisconsin, Milwaukee, WI; Children's Wisconsin, Milwaukee, WI.
Children's Wisconsin, Milwaukee, WI.
Air Med J. 2022 May-Jun;41(3):315-319. doi: 10.1016/j.amj.2022.01.001. Epub 2022 Feb 11.
The Ground and Air Medical Quality Transport database identifies the average mobilization time (AMT) of the transport team as a metric for benchmarking. Our specific aim was to decrease our AMT to < 25 minutes for our expanded role, ground, nonsimultaneous transports by the end of quarter 4 of 2018.
Standardization of data collection with awareness building, ambulance vendor involvement, and team-focused interventions were the different phases of project implementation. Documentation of reasons for delay was performed pre- and postimplementation.
Our AMT decreased from a baseline of 30.3 minutes to 24.5 minutes after project implementation. Communication delays (19.0%), reason for delay not documented (16.5%), no team available (14.0%), rotor wing vendor delays (12.4%), and ambulance vendor delays (7.4%) were the common reasons for delay on our preimplementation Pareto analysis. Communication and pharmacy delays were the most common reasons during all 3 phases of our project.
Implementation of the project allowed us to achieve our goal of improving our AMT. Understanding the reasons for delay is a crucial consideration, and success depends on careful change management. Further iterations will need to focus on improving communication and the pharmacy medication dispatch process.
地面和空中医疗质量转运数据库将转运团队的平均出动时间（AMT）作为基准测试的指标。我们的具体目标是在 2018 年第 4 季度末，将我们扩展后的地面非同时转运的 AMT 降低到<25 分钟。
通过数据收集的标准化、救护车供应商的参与以及以团队为中心的干预措施，实现项目实施的不同阶段。在实施前后对延迟原因进行记录。
我们的 AMT 从基线的 30.3 分钟降低到项目实施后的 24.5 分钟。沟通延迟（19.0%）、延迟原因未记录（16.5%）、无团队可用（14.0%）、旋翼供应商延迟（12.4%）和救护车供应商延迟（7.4%）是我们在实施前的帕累托分析中延迟的常见原因。在项目的所有 3 个阶段中，沟通和药房延迟都是最常见的原因。
项目的实施使我们能够实现改善 AMT 的目标。了解延迟的原因是一个关键的考虑因素，成功取决于仔细的变更管理。进一步的迭代将需要专注于改进沟通和药房药物派遣流程。
