改善退伍军人事务部泌尿科临床候诊时间。

IF 0.2 Q4 NURSING
Eyitemi Owens, Susan Montgomery, Jennifer Robles
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引用次数: 0

摘要

背景:门诊等候时间过长会导致治疗延误和患者满意度下降。退伍军人经常在泌尿科门诊长时间等候,延误了治疗,包括可能的手术干预,导致患者不满。目的:本质量改进项目旨在通过实施快速通道程序门诊,减少泌尿科门诊的整体程序等待时间。方法:采用精益方法学原理开发了快速通道程序门诊,以加快对正在接受膀胱癌或前列腺癌监测的退伍军人的治疗。我们还利用医疗保健提供者和系统消费者评估门诊和非住院手术调查(OAS CAHPS)工具来评估患者对新实施的快速通道门诊的满意度。我们还通过 SPSS 统计软件收集和分析了候诊时间,以确定快速通道门诊的有效性。结果自 2021 年 6 月至 2021 年 12 月,泌尿科门诊对前来预约手术的退伍军人实施了快速通道门诊。快速通道门诊的使用在 8 周内将总体等候时间从 131 分钟缩短至 75 分钟(缩短了 43%)。OAS CAHPS 工具发现,在实施快速通道前,55% 的退伍军人收到了通俗易懂的说明,而在实施快速通道后,这一比例为 59%(提高了 4%)。此外,82% 的退伍军人表示在快速通道实施后没有收到书面出院说明,而在快速通道实施前这一比例为 32%。结论纳入快速通道程序诊所有助于最大限度地缩短等待时间,从而减少程序等待时间和泌尿外科手术延迟。对护理工作的启示:对护理实践的启示包括:未来的研究将重点关注改善门诊等待时间的其他策略,包括泌尿外科和其他专科领域的分块时间表和定性措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improving Clinical Wait Times in a Veterans Affairs' Urologic Setting.

Background: Long clinic wait times can contribute to treatment delays and decreased patient satisfaction. Veterans are often waiting in the urology clinic for a prolonged period that delays treatments including possible surgical interventions leading to patient dissatisfaction. Purpose: The purpose of this quality improvement project was to decrease the overall procedural wait times in an outpatient urology clinic by implementing a Fast-Track procedural clinic. Methods: The Fast-Track procedural clinic was developed to expedite care for veterans actively under bladder or prostate cancer surveillance, employing lean methodology principles. We also utilized the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) tool to assess patient satisfaction with the newly implemented Fast-Track clinic. Wait times were collected and analyzed by SPSS statistical software to determine the effectiveness of a Fast-Track clinic. Results: The Fast-Track clinic was implemented to veterans presenting to the urology clinic for procedural appointments from June 2021 to December 2021. The usage of a Fast-Track clinic decreased the overall wait times from 131 to 75 minutes within 8 weeks (43% improvement). The OAS CAHPS tool found that 55% of veterans received easy-to-understand instructions pre-Fast-Track implementation, compared with 59% post-Fast-Track implementation (a 4% improvement). Furthermore, 82% of veterans reported that they did not receive written discharge instructions post-Fast-Track implementation compared with 32% pre-Fast-Track implementation. Conclusion: Incorporating a Fast-Track procedural clinic helped minimize wait times, leading to a reduction in procedural wait times and urologic surgical delays. Implications for Nursing: The implications for practice include future studies focusing on other strategies for improving clinic wait times including block schedules and qualitative measures in the urologic and other specialty areas.

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CiteScore
0.60
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