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A Rapid Cycle Improvement Approach to Increase Patient Readiness at Their Scheduled Appointment Time

机译：快速循环改进方法，以提高预定预约时间的患者准备

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摘要

Background: Patient unpunctuality negatively affects quality care. We found that 39% of patients at an academic primary care center were not ready to be evaluated at their scheduled appointment time. Our aim was to reduce this to 20% in 3 months' time. Intervention: A multidisciplinary quality improvement team utilized quality improvement tools and methodology to determine that patient punctuality was a major modifiable factor contributing to the care gap. Reforming the scheduling process to include a built in 15-minute early arrival was implemented for acute visits for a 2-week trial period. Based on the successful results, this was then disseminated to all appointment types for a 3-month trial. Results: Of the 182 patients seen during the 2-week trial period, 34 (19%) were not ready to be seen at the time of their appointment, a 20% improvement (P value .001) from baseline. A total of 2832 patients were followed up for all visits during the next 3 months and 590 (21%) were not ready on time (P value .001). Physician and patient satisfaction results improved after the intervention. Conclusions: Utilizing quality improvement tools we were able to find a simple and inexpensive intervention to improve patient punctuality as well as patient and provider satisfaction.
机译：背景：患者未分解性对质量保健产生负面影响。我们发现，39％的学术初级保健中心的患者尚未准备好在预定的预约时间进行评估。我们的目标是在3个月的时间内降低到20％。干预：多学科质量改进团队利用质量改进工具和方法，以确定患者的守时是有助于护理差距的主要可修改因素。改革调度过程，包括建在15分钟的早期抵达中，实施了2周试用期的急性访问。根据成功的成果，然后将其传播到3个月试验中的所有预约类型。结果：在2周试用期间的182名患者中，在预约时尚未准备好看到34（19％），从基线中获得20％的改善（P值＆。在接下来的3个月内，共进行了总共2832名患者，并且在590（21％）上没有准备就绪（P值＆ .001）。医生和患者满意度在干预后改善。结论：利用质量改进工具，我们能够找到一种简单且廉价的干预，以改善患者的守时性以及患者和提供者满意度。

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