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首页> 外文期刊>BMJ Open Quality >Improving information availability in vascular surgical clinics. A service evaluation and improvement project
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Improving information availability in vascular surgical clinics. A service evaluation and improvement project

机译：改善血管外科诊所的信息可用性。服务评估和改进项目

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Abstract This prospective service evaluation was designed to assess the availability of critical information required in vascular surgical clinics. All the data was collected via a repeated questionnaire, and the outcomes from each cycle were used to highlight where intervention was required to improve the surgical clinic experience.The first audit identified outpatient clinic deficiencies and allowed for problem analysis. Two Plan-Do-Check-Act (PDCA) cycles then were undertaken. Interventions following each cycle included consultant access to online duplex scans and secretarial access to referral letters.Results from the first cycle showed that approximately 20% of clinic appointments were missing information and only 30% of these issues were resolved during the clinic using a work around.Following the first intervention; the numbers of missing patient notes reduced to 4.3% (10.5%), and referral letters to 3.6% (4.6%). Although the numbers of missing duplex scan results increased to 6.5% (3.3%), the new system of online scan results allowed for all scans to be accessed during the clinic.Following results of a second PDCA cycle, vascular surgical secretaries were given access to ‘choose and book’, a database of GP referral letters. Post intervention, all missing referral letters (2%) could be accessed immediately within the clinic setting.Data driven interventions and repeated PDCA cycles can improve hospital systems for minimal cost. With an annual clinic turnaround of 2500 patients, these interventions can reduce clinic delays and potential harm caused by unavailable records for up to 500 patients a year.
机译：摘要这项前瞻性服务评估旨在评估血管外科诊所所需关键信息的可用性。所有数据都是通过重复调查表收集的，每个周期的结果均用于强调需要采取哪些措施以改善外科诊所的经验。第一次审核确定了门诊诊所的不足之处，并进行了问题分析。然后进行了两个计划-执行-检查-执行（PDCA）周期。每个周期之后的干预措施包括顾问访问在线双面扫描和秘书访问推荐信。第一个周期的结果表明，约有20％的诊所预约缺少信息，只有30％的此类问题在诊所期间得到了解决， 。在第一次干预之后;丢失的患者笔记数量减少到4.3％（10.5％），推荐信减少到3.6％（4.6％）。尽管丢失的双工扫描结果数量增加到6.5％（3.3％），但新的在线扫描结果系统允许在临床期间访问所有扫描结果。继第二个PDCA周期的结果之后，血管外科秘书得以访问“选择并预订”，一个GP推荐信数据库。干预后，所有丢失的推荐信（2％）都可以在诊所内立即获得。数据驱动的干预和重复的PDCA周期可以以最小的成本改善医院系统。这些干预措施每年可为2500名患者提供服务，这些干预措施可减少因不可用记录而每年多达500名患者而导致的临床延误和潜在危害。

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