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缩短住院时间是退伍军人管理局医疗中心改善的关键。

Reducing length of stay provides key to improvement in Veterans Administration Medical Center.

作者信息

Huebler L A, Christian J A, Marcella L W

出版信息

QRB Qual Rev Bull. 1980 Feb;6(2):20-4.

PMID:6785685
Abstract

Concerted resolve and coordinated planning on the part of both administrative and patient care staff at the medical center made it possible to treat more patients in fewer beds than ever before and to improve the core staffing ratio at the same time. Staffing was enhanced and new programs were developed using available resources. Reduction of the average LOS for patients throughout the medical center was a primary factor in these achievements. In addition, formal quality assurance activities were strengthened; with careful planning and increased funding, the renovation of facilities and purchase of new equipment was also possible, thus making the improvement project comprehensive. These changes have had a major, beneficial impact on the delivery of health care a the Dublin Veterans Administration Medical Center.

摘要

医疗中心行政人员和医护人员齐心协力、协同规划,使得在床位减少的情况下能够比以往治疗更多患者,同时提高了核心人员配备比例。利用现有资源增加了人员配备并开展了新项目。降低医疗中心所有患者的平均住院日是取得这些成果的主要因素。此外,加强了正式的质量保证活动;通过精心规划和增加资金,还得以翻新设施并购置新设备,从而使改进项目更加全面。这些变革对都柏林退伍军人管理局医疗中心的医疗服务产生了重大的积极影响。

相似文献

1
Reducing length of stay provides key to improvement in Veterans Administration Medical Center.缩短住院时间是退伍军人管理局医疗中心改善的关键。
QRB Qual Rev Bull. 1980 Feb;6(2):20-4.
2
The role of the Veterans Affairs Medical Centers in patient care, surgical education, research and faculty development.退伍军人事务医疗中心在患者护理、外科教育、研究和教员发展方面的作用。
Am J Surg. 2005 Nov;190(5):662-75. doi: 10.1016/j.amjsurg.2005.07.001.
3
Finance modeling in the delivery of medical care in tertiary-care hospitals in the Department of Veterans Affairs.退伍军人事务部三级医疗医院医疗服务中的财务建模
J Surg Res. 2001 Apr;96(2):152-7. doi: 10.1006/jsre.1999.5728.
4
Adult day health care organizational and program characteristics.
Med Care. 1993 Sep;31(9 Suppl):SS26-37.
5
Study: shorter stays don't reduce quality.研究:缩短住院时间不会降低医疗质量。
Healthcare Benchmarks Qual Improv. 2004 Feb;11(2):18-9.
6
The effects of organization on medical utilization: an analysis of service line organization.组织对医疗利用的影响:服务线组织分析
Med Care. 2004 Jan;42(1):28-37. doi: 10.1097/01.mlr.0000102493.28759.71.
7
The Veterans Health Administration: quality, value, accountability, and information as transforming strategies for patient-centered care.退伍军人健康管理局:质量、价值、问责制和信息作为以患者为中心的护理的转型策略。
Am J Manag Care. 2004 Nov;10(11 Pt 2):828-36.
8
Effect of a change in house staff work schedule on resource utilization and patient care.住院医师工作时间表的改变对资源利用和患者护理的影响。
Arch Intern Med. 1991 Oct;151(10):2065-70.
9
Relationship between inappropriate admissions and days of care: implications for utilization management.不适当入院与护理天数之间的关系:对利用管理的影响。
Hosp Health Serv Adm. 1991 Fall;36(3):421-37.
10
Veteran's health care: time for a change?退伍军人医疗保健:是时候做出改变了吗?
Physician Exec. 1998 Nov-Dec;24(6):48-51.

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What effect does physician "profiling" have on inpatient physician satisfaction and hospital length of stay?医生“画像”对住院医生满意度和住院时间有何影响?
BMC Health Serv Res. 2006 Apr 4;6:45. doi: 10.1186/1472-6963-6-45.
2
The effect of hospital characteristics and organizational factors on pre- and postoperative lengths of hospital stay.医院特征和组织因素对术前及术后住院时间的影响。
Health Serv Res. 1984 Dec;19(5):561-85.
3
Length of hospital stay in veteran surgical service patients with nosocomial infections.患有医院感染的退伍军人外科服务患者的住院时间。
J Natl Med Assoc. 1990 Apr;82(4):265-70.