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我们如何衡量组织的健康状况?开发一种全面的以患者为中心和以员工为中心的可视化分析解决方案。

How do we measure organisational wellness? Development of a comprehensive patient-centred and employee-centred visual analytical solution.

机构信息

Anesthesiology, Johns Hopkins Medicine, Saint Petersburg, Florida, USA

Quality Improvement and Patient Safety, Johns Hopkins Medicine, Saint Petersburg, Florida, USA.

出版信息

BMJ Open Qual. 2022 Dec;11(4). doi: 10.1136/bmjoq-2022-002081.

Abstract

BACKGROUND

Dashboards are visual information systems frequently employed by healthcare organisations to track key quality improvement and patient safety performance metrics. The typical healthcare dashboard focuses on specific metrics, disease processes or units within a larger healthcare organisation. Here, we describe the development of a visual analytical solution (keystone dashboard) for monitoring an entire healthcare organisation.

METHODS

The improvement team reviewed and assessed various data sources across the organisation and selected a group of patient and employee related metrics that afforded a broad overview of the organisation's well-being. Metrics spanned the organisation and included data from patient safety, quality improvement, human resources, risk management and medical staff affairs. Each metric was assigned a numeric weight that correlated with its impact. A visual model incorporating the various data fields was then constructed.

RESULTS

The keystone dashboard incorporates a data heatmap and density visualisation to emphasis areas of higher density and/or weighted values. The heatmap is used to indicate the weight/magnitude of each metric within a data range in two dimensions: location and time. The visualisation 'heats up' depending on the combination of counts events and their assigned impact for the reporting month. Most data sources update in near real time.

SUMMARY

The keystone dashboard serves as a comprehensive and collaborative integration of data from patient safety, quality improvement, human resources, risk management and medical staff affairs. This visual analytical solution incorporates and analyses metrics into a single view with the intent of providing valuable insight into the health of an entire organisation. This dashboard is unique as it provides a broad overview of a healthcare organisation by incorporating key metrics that span the organisation.

摘要

背景

仪表盘是医疗保健组织常用的可视化信息系统,用于跟踪关键质量改进和患者安全绩效指标。典型的医疗保健仪表盘专注于特定的指标、疾病过程或大型医疗保健组织内的单位。在这里,我们描述了一种用于监测整个医疗保健组织的可视化分析解决方案(关键指标仪表盘)的开发。

方法

改进团队审查和评估了组织内的各种数据源,并选择了一组与患者和员工相关的指标,这些指标提供了组织整体健康状况的广泛概述。指标涵盖了整个组织,包括来自患者安全、质量改进、人力资源、风险管理和医务人员事务的数据。每个指标都被分配了一个与其影响相关的数字权重。然后构建了一个包含各种数据字段的可视化模型。

结果

关键指标仪表盘采用了数据热图和密度可视化技术来强调密度和/或加权值较高的区域。热图用于在两个维度(位置和时间)内指示每个数据范围内每个指标的权重/幅度:位置和时间。可视化效果根据报告月份的计数事件及其分配的影响组合而“升温”。大多数数据源都几乎实时更新。

总结

关键指标仪表盘是患者安全、质量改进、人力资源、风险管理和医务人员事务数据的综合和协作集成。这种可视化分析解决方案将指标纳入单一视图进行整合和分析,旨在为整个组织的健康状况提供有价值的见解。这个仪表盘是独特的,因为它通过包含跨越组织的关键指标,提供了对医疗保健组织的广泛概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b34d/9723824/e21b61053a90/bmjoq-2022-002081f01.jpg

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