Purdue University School of Industrial Engineering, West Lafayette, IN, USA.
Purdue School of Engineering and Technology, Indiana University-Purdue University Indianapolis, Indiana, USA; Regenstrief Institute, Inc., Indianapolis, IN, USA; Center for Health Information and Communication, Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service CIN 13-416, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
Appl Ergon. 2024 Feb;115:104177. doi: 10.1016/j.apergo.2023.104177. Epub 2023 Nov 27.
The specialty referral process consists of primary care clinicians referring patients to specialty consultants. This care transition requires effective care coordination and health information exchange between care teams; however, breakdowns in workflow and information flow impede "closing the referral loop" and delay or prevent referrers from receiving the consultant's "visit notes," particularly in cross-institutional referrals. This study aimed to describe and map the referral process as it occurs in clinics and identify and characterize work system barriers affecting its performance. Referrers and consultants were interviewed about their perceived workflows, barriers, and clinical outcomes to inform a workflow analysis.
专业转诊流程包括初级保健临床医生将患者转介给专业顾问。这种护理交接需要护理团队之间进行有效的护理协调和健康信息交换；然而，工作流程和信息流的中断阻碍了“闭环转诊”，导致转诊医生延迟或无法收到顾问的“就诊记录”，尤其是在跨机构转诊的情况下。本研究旨在描述和描绘转诊流程在诊所中的实际运行情况，并确定和描述影响其绩效的工作系统障碍。通过对转诊医生和顾问进行访谈，了解他们对工作流程、障碍和临床结果的看法，为工作流程分析提供信息。
