[使用精益方法简化病人出院和院内转院流程]。

IF 1.1 Q4 HEALTH CARE SCIENCES & SERVICES
L. Manzanedo-Basilio , S. Arias-Rivera
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引用次数: 0

摘要

简介:精益方法在医院环境中的应用可以帮助改善专业间的沟通,减少非增值活动(浪费)。目的:确定实施可视化管理工具的有效性,以减少医院在院内转院(ITH)和出院过程中实时确定患者位置的次数。材料与方法:在某医院内科进行前后对照研究。检测到由于不必要的传输而造成的一些时间浪费。成立了一个多专业小组来设计一个可视化的管理工具,以解决这些已确定的问题。评估专业人员对工具的意见,测量工具实施前后员工位移和完成度的变量。结果:对相关人员进行了培训。随着时间的推移,该工具的完井性能得到了改善,无论是在HIT还是排液方面,都减少了起下钻次数。结论:在护理过程中应用可视化管理工具,包括所有相关人员,是有效的,节省了浪费。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resultados de la dinamización del proceso de alta y de traslados intrahospitalarios de los pacientes aplicando el método Lean

Introduction

The application of Lean methodology in the hospital environment can help to improve interprofessional communication and reduce non-value adding activities (waste).

Objective

To determine the effectiveness of the implementation of a visual management tool, in the ability to reduce the number of trips, to determine the location of patients in real time in the process of intra-hospital transfers (ITH) and discharges in a hospital.

Material and methods

Before-after study in a hospital internal medicine unit. Several time wastes due to unnecessary transfers were detected. A multiprofessional group was formed to design a visual management tool for the resolution of these identified problems. The opinion of the professionals on the tool was evaluated and variables of staff displacement and completion of the tool were measured before and after its implementation.

Results

The personnel involved was trained. Completion of the tool improved over time, both in HIT and in discharges, reducing the number of trips.

Conclusions

The application of a visual management tool in care processes, including all the personnel involved is effective and saves waste.

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来源期刊
CiteScore
1.70
自引率
8.30%
发文量
83
审稿时长
57 days
期刊介绍: Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)
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