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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Model for optimal space and staff efficiency in an otolaryngology clinic.
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Model for optimal space and staff efficiency in an otolaryngology clinic.

机译：耳鼻喉科诊所的最佳空间和人员效率模型。

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摘要

Maximizing efficiency of staff and resources is one method of reducing costs without affecting quality. Using a methodology similar to that used to maximize efficiency of airline-gate use, we developed a model with which to evaluate nursing support staff and clinical examining-room resources in a general otolaryngology clinic. For 144 patients over 7 consecutive clinic days, with four otolaryngologists and various combinations of support staff and examining rooms, we measured space and staff resource use, including total clinic time, number of patients seen, patient waiting time, physician and nurse productivity, and examining-room use. A simulation model was used as the medium of analysis to define parameters of the patient encounter. We identified optimal efficiency when there were three examining rooms and one and one-half nursing staff per physician or five examining rooms and three nursing staff for two simultaneously practicing physicians. Compared with a model of two rooms and one nursing staff member, our ideal model increased the percentage of the physicians' time spent in direct contact with patients from 84% to 92%. Visit length decreased from 81 minutes to 57 minutes, the average time from check-in to examination decreased from 47 to 16 minutes, and it became possible for three additional patients to be seen each day. Additional rooms and support staff, in comparison with the optimally efficient distribution, did not significantly affect these parameters. Maximizing efficiency with the use of this methodology can decrease waiting times for patients, resulting in greater patient satisfaction, improved physician productivity, total number of patients seen, and increased total contact time between physicians and patients.
机译：最大限度地提高人员和资源效率是降低成本而又不影响质量的一种方法。我们使用类似于最大化航空公司登机口使用效率的方法，开发了一种模型，用于评估普通耳鼻喉科诊所的护理支持人员和临床检查室资源。在连续7天的诊治期间，对144名患者，四名耳鼻喉科医生以及各种支持人员和检查室进行了组合，我们测量了空间和人员资源的使用情况，包括总的临床时间，看诊的患者人数，患者的等待时间，医师和护士的工作效率，以及检查室的使用。仿真模型被用作分析的媒介，以定义患者遭遇的参数。当有三个检查室，每个医师有一个和一半的护理人员，或者两个同时执业的医师有五个检查室和三个护理人员时，我们确定了最佳效率。与具有两个房间和一个护理人员的模型相比，我们的理想模型将医生与患者直接接触所花费的时间百分比从84％增加到92％。访视时间从81分钟减少到57分钟，从登机到检查的平均时间从47分钟减少到16分钟，每天有可能再接待三名患者。与最佳有效分配相比，额外的房间和支持人员对这些参数没有显着影响。使用这种方法来最大程度地提高效率可以减少患者的等待时间，从而提高患者满意度，提高医师的工作效率，看诊的患者总数以及增加医患之间的总接触时间。

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