基于价值流程图的缺血性脑卒中患者静脉溶栓院内延迟现状分析  

The hospital delay analysis of intravenous thrombolysis process among ischemic stroke patients based on value stream mapping

作　　者：苏林霞 杨莘[1,2] 常红[3] 梁潇[4] 吉训明[5] 武剑[3] 刘力松[6] 

机构地区：[1] 首都医科大学护理学院,北京市100069 [2]首都医科大学宣武医院护理部 [3] 首都医科大学神经内科,北京市100069 [4] 首都医科大学急诊科,北京市100069 [5] 首都医科大学科研处,北京市100069 [6] 首都医科大学门诊部,北京市100069

出　　处：《中国护理管理》2015年第5期591-594,共4页Chinese Nursing Management

基　　金：2010年国家临床重点专科建设项目

摘　　要：目的：系统分析缺血性脑卒中患者静脉溶栓院内价值流程图，为流程的优化提供依据。方法：采用目的抽样法，对31例缺血性脑卒中静脉溶栓患者进行全程跟踪调查，绘制价值流程图并分析院内各环节的活动。结果：缺血性脑卒中患者静脉溶栓院内总流程时间为81～196min，总工作时间为45～98min，总延误时间为36～98min；结论：缺血性脑卒中患者静脉溶栓院内流程存在较大改进空间，快速的预检分诊、科室间的团队合作、可视化管理、多样化的病情告知方式等是优化缺血性脑卒中患者静脉溶栓院内流程的关键措施。Objective：To analyze systematically the effect of value stream map of intravenous thrombolysis process among ischemic stroke patients and to provide the basis for process optimization. Methods：Totally 31 ischemic stroke patients with intravenous thrombolysis were recruited by purposive sampling methods and were followed up throughout the whole study. We drawed the value stream map and analyzed the activities in the hospital. Results：The mean time of hospital intravenous thrombolysis among ischemic stroke patients was 81-196 minutes, the process time was 45-98 minutes, the delay time was 36-98 minutes. Conclusion：The intravenous thrombolysis process among ischemic stroke patients has a great improvement space. The key measures to optimize intravenous thrombolysis process were timely and accurate evaluation, the cooperation and communication of each department, visual management, and diverse informed consent form.

关 键 词：价值流程图 缺血性脑卒中 静脉溶栓 

分 类 号：R47[医药卫生—护理学]