评估和改进围手术期过程:术前患者评估的基准和重新设计

J. Ryan, Carmen Lewis, Barbara Doster, Sandra Daily
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引用次数: 9

摘要

本研究考察了持续流程改进、流程基准和流程再造的工业和运营管理实践,以评估和改进医院环境中的围手术期流程。本文确定了应用于内部和外部组织数据的分析、评估和综合的动态技术活动如何能够突出集成过程中的复杂关系,从而产生改进的能力。识别现有的工艺限制、潜在的工艺能力以及随后的上下文理解是在医院围手术期过程中重新设计术前患者评估的重要因素。基于对一家大型教学医院84个月的纵向研究,本案例研究调查了综合信息系统对识别、鉴定和量化提高围手术期效率和有效性的流程重新设计实践的影响。理论和实践的影响和/或限制也讨论了从业者和研究人员一样。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating and Improving the Perioperative Process: Benchmarking and Redesign of Preoperative Patient Evaluations
This study examines industrial and operations management practices of continuous process improvement, process benchmarking, and process reengineering to evaluate and improve the perioperative process within a hospital environment. This paper identifies how dynamic technological activities of analysis, evaluation, and synthesis applied to internal and external organizational data can highlight complex relationships within integrated processes to yield improved capabilities. The identification of existing process limitations, potential process capabilities, and subsequent contextual understanding are contributing factors that yield a redesign of preoperative patient evaluations within a hospital's perioperative process. Based on an 84-month longitudinal study of a large teaching hospital, this case study investigates the impact of integrated information systems to identify, qualify, and quantify process redesign practices that improve perioperative efficiency and effectiveness. Theoretical and practical implications and/or limitations are also discussed for practitioners and researchers alike.
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