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Making molehills out of a mountain: experience with a new scheduling strategy to diminish workload variations in response to increased treatment demands

机译:走出困境:体验新的调度策略以减少工作量变化以应对不断增长的治疗需求

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摘要

PurposeA new scheduling strategy was implemented. Before implementation, treatments and planning computed tomography (ct) imaging were both scheduled at the same time. Maximal wait times for treatment are defined by the Quebec Ministry of Health’s plan of action according to treatment aim and site. After implementation, patients requiring rapid treatment (priorities 0–3) continued to have their treatments scheduled at the same time as their planning ct; treatments for priority 4 (P4) patients were scheduled only after the treatment plan was approved. That approach aims to compensate for unexpected increases in planning workload by relocating less delay-sensitive cases to other time slots. We evaluated the impact on the patient experience, workload in various sectors, the care team’s perception of care delivery, access to care, and the department’s efficiency in terms of hours worked per treatment delivered.
机译:目的实施了新的调度策略。在实施之前,要同时安排治疗和计划计算机断层扫描(ct)成像。魁北克卫生部的行动计划根据治疗目标和地点确定了最长的治疗等待时间。实施后,需要快速治疗的患者(优先级0-3)继续在计划ct的同时安排治疗;仅在批准治疗计划后才安排对优先级4(P4)患者的治疗。该方法旨在通过将对延迟不太敏感的案例重新定位到其他时隙,以补偿计划工作负载中意外增加的情况。我们评估了对患者体验,各个部门工作量,护理团队对护理交付,获得护理的理解以及部门每次治疗的工作时间效率的影响。

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