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首页> 外文期刊>Journal of organizational behavior management >Every Minute Counts: Using Process Improvement and Performance Feedback to Improve Patient Flow in an Emergency Department
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Every Minute Counts: Using Process Improvement and Performance Feedback to Improve Patient Flow in an Emergency Department

机译：每分钟都至关重要：使用流程改进和性能反馈来改善急诊室的患者流量

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摘要

Prolonged emergency department (ED) visits are associated with a number of adverse outcomes for patients as well as lower patient satisfaction scores and increased costs. Several factors that influence the length of ED visits are out of the control of hospital employees, but some opportunities exist to improve performance. For this study, the ED department of a 150-bed hospital in the southeastern United States wanted to improve door-to-discharge time. To do so, a subprocess of door-to-discharge time was targeted, door-to-order. After analyzing the process, the team created standard orders for the 10 most common presenting conditions in the ER with preapproval, allowing nurses to submit the orders without the provider first visiting the patient. Following the process change, daily feedback was added to increase utilization of the preapproved orders. Reductions in door-to-order times and door-to-discharge were observed and patient satisfaction remained stable. Implications for future research in this area are discussed.
机译：急诊科（ED）的长期就诊会给患者带来许多不良后果，并降低患者满意度评分并增加成本。影响急诊就诊时间长短的几个因素是医院员工无法控制的，但仍有一些机会可以提高绩效。对于本研究，美国东南部一家拥有150张床位的医院的急诊科希望缩短上门出院时间。为此，目标是门到门放电时间的子流程。在对过程进行分析之后，该团队通过预先批准为急诊室中10种最常见的出诊情况创建了标准订单，使护士无需提供者先拜访患者就可以提交订单。流程更改后，添加了每日反馈，以提高对预先批准的订单的利用率。观察到门到门时间和门到出门时间的减少，并且患者满意度保持稳定。讨论了对该领域未来研究的意义。

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