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首页> 外文期刊>BMC Medical Informatics and Decision Making >Evaluation of the clinical process in a critical care information system using the Lean method: a case study
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Evaluation of the clinical process in a critical care information system using the Lean method: a case study

机译：使用精益方法评估重症监护信息系统中的临床过程：一个案例研究

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Background There are numerous applications for Health Information Systems (HIS) that support specific tasks in the clinical workflow. The Lean method has been used increasingly to optimize clinical workflows, by removing waste and shortening the delivery cycle time. There are a limited number of studies on Lean applications related to HIS. Therefore, we applied the Lean method to evaluate the clinical processes related to HIS, in order to evaluate its efficiency in removing waste and optimizing the process flow. This paper presents the evaluation findings of these clinical processes, with regards to a critical care information system (CCIS), known as IntelliVue Clinical Information Portfolio (ICIP), and recommends solutions to the problems that were identified during the study. Methods We conducted a case study under actual clinical settings, to investigate how the Lean method can be used to improve the clinical process. We used observations, interviews, and document analysis, to achieve our stated goal. We also applied two tools from the Lean methodology, namely the Value Stream Mapping and the A3 problem-solving tools. We used eVSM software to plot the Value Stream Map and A3 reports. Results We identified a number of problems related to inefficiency and waste in the clinical process, and proposed an improved process model. Conclusions The case study findings show that the Value Stream Mapping and the A3 reports can be used as tools to identify waste and integrate the process steps more efficiently. We also proposed a standardized and improved clinical process model and suggested an integrated information system that combines database and software applications to reduce waste and data redundancy.
机译：背景技术健康信息系统（HIS）的许多应用程序都支持临床工作流程中的特定任务。通过减少浪费和缩短交货周期时间，越来越多地使用精益方法来优化临床工作流程。关于与HIS相关的精益应用的研究很少。因此，我们应用Lean方法评估与HIS相关的临床过程，以评估其清除废物和优化流程的效率。本文介绍了有关重症监护信息系统（CCIS）（称为IntelliVue临床信息组合（ICIP））的这些临床过程的评估结果，并提出了针对在研究过程中发现的问题的解决方案。方法我们在实际临床情况下进行了案例研究，以研究如何使用精益方法改善临床过程。我们使用观察，访谈和文档分析来实现我们规定的目标。我们还应用了精益方法中的两个工具，即价值流映射和A3问题解决工具。我们使用eVSM软件绘制了价值流图和A3报告。结果我们发现了许多与临床过程效率低下和浪费有关的问题，并提出了一种改进的过程模型。结论案例研究结果表明，价值流图和A3报告可以用作识别浪费和更有效地整合流程步骤的工具。我们还提出了标准化和改进的临床过程模型，并提出了一个综合信息系统，该系统结合了数据库和软件应用程序以减少浪费和数据冗余。

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