多学科合作的流程管理在脑科危重患者院间转运中的应用效果分析

Application of multidisciplinary cooperation on the optimized process management on inter-hospital transfer of critical neurosurgical patients

目的 :分析多学科合作的流程管理应用于脑科危重患者院间转运的效果。方法 :成立脑科危重患者院间转运的流程管理小组,选择核心转运流程,制定核心流程图,各项工作按流程运行,比较流程管理运行前后出诊质量、转运过程中护理缺陷发生率以及患者家属满意度。结果 :实施流程管理后,脑科危重患者转运前期准备时间从(10.25±2.45)min降低到(6.24±2.56)min(P<0.001),转运途中护理缺陷发生率从23.3%降低到7.9%(P<0.001),患者家属满意度得到提高(P<0.001)。结论 :流程管理应用于脑科危重患者院间转运可规范、优质、高效完成转运任务,促进了转运质量持续改进,提高了患者家属满意度。

Objective： To analyze the effect of multidisciplinary cooperation on the optimization of process management in the inter-hospital transfer of critically ill patients with brain diseases. Methods： A process management team was set up to select the core transfer procedures and develop a core flow chart. All the transfer work was run according to the optimized process. We compared the effects before and after the optimized process was applied. Results： After the implementation of the optimized process management, the preparation time before transfer was reduced from （10.25 ± 2.45） min to （6.24± 2.56） min （P〈0.001）, the incidence rate of nursing defects decreased from 23.3% to 7.9% （P〈0.001）, and patients＇ relatives satisfaction was improved （P〈0.001）. Conclusion： The process management for the transfer of patients with severe brain diseases can enhance the high quality and efficient completion of transfer tasks, and promote the continuous improvement of transfer quality and improve patients＇ relatives satisfaction.