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应用质量改进工具增加日间入院人数:一家农村医院的经验

The application of quality improvement tools to increase the number of day-only admissions: a rural hospital's experience.

作者信息

Turner R, Dennis R

机构信息

North West Health Service, Tamworth, NSW, Australia.

出版信息

J Qual Clin Pract. 1995 Jun;15(2):111-9.

PMID:7670716
Abstract

Hospital discharge data were analysed and showed Tamworth Base Hospital as having fewer day-only admissions compared to similar hospitals. A team of ten staff involved in all aspects of day-only patient transactions was selected to analyse work processes associated with the day-only patient system with the aim of increasing the number of day-only admissions. From the application of quality improvement tools, the team was able to make recommendations to increase the work flow and predict resources necessary to increase day-surgery throughput. A revised system allowing for an increase in the number of admissions has been introduced; this has seen a significant increase in the number of people admitted as day-only patients. A telephone survey following discharge of day-surgery patients indicates that standards of care have been maintained and improved.

摘要

对医院出院数据进行了分析,结果显示与类似医院相比,塔姆沃思基地医院的日间入院人数较少。一个由十名工作人员组成的团队参与了日间患者事务的各个方面,他们被挑选出来分析与日间患者系统相关的工作流程,目的是增加日间入院人数。通过应用质量改进工具,该团队能够提出增加工作流程和预测增加日间手术量所需资源的建议。现已引入了一个经过修订的系统,该系统允许增加入院人数;这使得日间入院患者的数量大幅增加。对日间手术患者出院后的电话调查表明,护理标准得到了维持和提高。

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