结合看板管理的急诊室患者分流管理
|
摘要
目的探讨上海市某三甲医院急诊科运用指标体系设计结合看板管理减少抢救室患者滞留的具体实施方法与成效。方法 2017年5月起,在急诊科采用新的抢救室患者分流评价指标和可视化看板管理,对新管理方案实施前后(2017年4—12月)患者的平均滞留时间和疑难危重率进行比较。结果实施指标体系结合看板管理方案后,抢救室患者的平均滞留时间降低24.51%,收治患者的疑难危重率由84.42%提升至94.84%。结论分流评价指标和可视化看板使抢救室患者的分流效率提升,有效减少患者滞留,提高急诊科救治疑难危重患者的能力。
Objective To explore the specific implementation method and effectiveness of the evaluation indicator system and Kanban management on reducing the block of patients in the emergency room in a comprehensive hospital in Shanghai. Methods Beginning in May 2017, the new evaluation index and Kanban management mode were adopted in the emergency department.Changes of the average stay time and the risk of patients before and after the implementation(April-December,2017) were compared.Results After implementing new evaluation indicators and Kanban management, the average stay time in the emergency room was reduced by 24.51%, and the risk rate of patients admitted was increased from 83.28 % to 94.84%.Conclusion Kanban management is effective in improving the diversion efficiency, reducing average stay time and improving the ability of the emergency department to treat critically ill patients.
Objective To explore the specific implementation method and effectiveness of the evaluation indicator system and Kanban management on reducing the block of patients in the emergency room in a comprehensive hospital in Shanghai. Methods Beginning in May 2017, the new evaluation index and Kanban management mode were adopted in the emergency department.Changes of the average stay time and the risk of patients before and after the implementation(April-December,2017) were compared.Results After implementing new evaluation indicators and Kanban management, the average stay time in the emergency room was reduced by 24.51%, and the risk rate of patients admitted was increased from 83.28 % to 94.84%.Conclusion Kanban management is effective in improving the diversion efficiency, reducing average stay time and improving the ability of the emergency department to treat critically ill patients.
引文
[1] 徐胜勇,徐腾达,张晖,等.急诊科拥挤对急诊临床实践的影响[J].中国急救医学,2014,34(12):1085-1089.
[2] Guttmann A,Schull M J,Vermeulen M J,et al.Association between waiting times and short term mortality and hospital admission after departure from emergency department:population based cohort study from Ontario,Canada[J].Bmj,2011,342(7809):1250.
[3] 急诊预检分诊专家共识组,史冬雷,刘晓颖,等.急诊预检分诊专家共识[J].中华急诊医学杂志,2018,27(6):599-604.
[4] 姜洪强.应用“看板管理法”有效提升一体化团队项目管理水平[J].职业,2017(29):54-56.
[5] 杨彩虹,苏伟秀,朱海华,等.三色分级与看板管理在健康管理师绩效管理中的应用[J].中国卫生标准管理,2018,9(17):196-198.
[6] Hoot N R,Aronsky D.Systematic review of emergency department crowding:causes,effects,and solutions[J].Annals of Emergency Medicine,2008,52(2):126-136.
[7] 孙烽,王韬.某院急诊抢救室优化患者收治流程实践[J].解放军医院管理杂志,2016,23(8):707-708.
[8] 赵霄.制造业可视化管理与关键绩效指标体系的研究[D].北京:清华大学,2009:1-135.
[9] 施香颖,翁玲琍,等.电子看板在临床护理中的应用效果观察[J].天津护理,2017,25(1):4-6.
[2] Guttmann A,Schull M J,Vermeulen M J,et al.Association between waiting times and short term mortality and hospital admission after departure from emergency department:population based cohort study from Ontario,Canada[J].Bmj,2011,342(7809):1250.
[3] 急诊预检分诊专家共识组,史冬雷,刘晓颖,等.急诊预检分诊专家共识[J].中华急诊医学杂志,2018,27(6):599-604.
[4] 姜洪强.应用“看板管理法”有效提升一体化团队项目管理水平[J].职业,2017(29):54-56.
[5] 杨彩虹,苏伟秀,朱海华,等.三色分级与看板管理在健康管理师绩效管理中的应用[J].中国卫生标准管理,2018,9(17):196-198.
[6] Hoot N R,Aronsky D.Systematic review of emergency department crowding:causes,effects,and solutions[J].Annals of Emergency Medicine,2008,52(2):126-136.
[7] 孙烽,王韬.某院急诊抢救室优化患者收治流程实践[J].解放军医院管理杂志,2016,23(8):707-708.
[8] 赵霄.制造业可视化管理与关键绩效指标体系的研究[D].北京:清华大学,2009:1-135.
[9] 施香颖,翁玲琍,等.电子看板在临床护理中的应用效果观察[J].天津护理,2017,25(1):4-6.