约束下的组织创新:以巴黎医院新冠肺炎患者流程管理为例

IF 1.6 Q3 HEALTH POLICY & SERVICES
Marie-Léandre Gomez, Marie Kerveillant, Matthieu Langlois, Nicolas Lot, Mathieu Raux
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引用次数: 3

摘要

在过去的两年里,新冠肺炎危机给医院带来了巨大的压力,一些机构接近崩溃的边缘。这往往迫使决策者和整个机构改变他们的做法和医院的组织,以便在资源有限的情况下继续运作。它还引导一些医院开发和实施组织创新。本文基于定性案例研究,分析了一个危机部门的案例,该部门实施了各种创新的医疗和组织行动,以管理巴黎一大批医院的复苏患者。为了更好地定量和定性地管理病人的流量,本小组实施了一种新的复苏需求评估量表;它确定了选择有资格转院的病人的医疗标准;它组织了100名病人转到该地区内外其他医院的重症监护室,涉及私立医院和私人救护车,以进行新的合作。这个案例让我们理解了在极端情况下的创新,当物质和人力资源受到高度限制,并且时间压力很大的时候。我们强调实施灵活的组织流程和为危机小组配备在流量管理和危机情况方面具有特定和互补技能和经验的医生和护士的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Organizational innovation under constraints: The case of covid patients' flow management in Parisian hospitals.

The COVID crisis has put hospitals under great stress over the past 2 years and some institutions came close to their breaking points. This has often forced decision makers and the entire institutions to change their practices and the organization of the hospitals in order to continue operating despite limited resources. It has also led some hospitals to develop and implement organizational innovations. This article is based on a qualitative case study analyzing the case of a crisis unit that has implemented various innovative medical and organizational actions in order to manage the flow of resuscitation Covid patients in a large group of hospitals in Paris. This team has implemented a new evaluation scale of resuscitation needs in order to better manage quantitatively and qualitatively the patients' flow; it has defined medical criteria to select the patients eligible for transfer; it has organized one hundred patients transfers to other hospitals' intensive care units, in and out of the region, involving private hospitals and private ambulances for a new collaboration. The case allows us to understand innovation in the midst of an extreme situation, when material and human resources are highly constrained, and with very strong time pressure. We highlight the importance of implementing flexible organizational processes and staffing the crisis team with physicians and nurses with specific and complementary skills and experience in flow management and crisis situations.

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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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