医院急诊流程重组应用研究

本研究采用过程方法、持续质量改进理论、控制论等,对急诊流程现况进行充分认识.通过现况分析,明确急诊流程的关键环节、关键质控点和影响急诊医疗质量的主要原因.在此基础之上,制定急诊流程重组的基本框架和实施方案,明确急诊流程重组的总体目标为:以病人为中心,实现就诊全程时间更短、诊疗行为更规范、效率更高.此方案在解放军304医院急诊科进行了实际应用,并对应用前后的部分指标进行了对比分析,得到了较为满意的结果,急诊病人人均全程就诊时间较重组前明显缩短,人均医生就诊时间较前有所延长,人均检查等待时间较前明显缩短.

The Applied study on Emergency Care process Reengineering

In the present study, we applied serial methods, such as processing analysis, continue quality improvement and cybernetics, to investigate the situation of emergency process. Then, the key aspects, major points of quality control, and factors related to emergency medical quality were defined by analyzing the situation. On the basis of the above data, we reorganized the emergency admission process through readjustment and coordination according to the theory of systematic business process reengineering, We defined the main goals of emergency process reengineering, which were focusing our efforts on patients, shortening the consulting time, giving standardized service, and improving the medical effciency, etc. These measures were used in the emergency department of 304th Hospital, satisfactory results had been achieved through analysis of various parameters, showing an increase in emergency admission cases, remarkable decrease in whole consulting time, prolongation of average care time for patients, and reduction of average waiting time during emergency care.