基于急诊流程绩效的胸痛患者管理  

Management of Chest Pain Patients Based on Emergency Process Performance

作　　者：杨建海 张雷 罗涛 YANG Jianhai;ZHANG Lei;LUO Tao(Emergency Department, No. 983 Hospital of PLA Joint LogisticSupport Force, Tianjin 300142;No. 983 Hospital of PLA Joint Logistic Support Force, Tianjin300142;Inpatient Area of Cardiology Department, No. 983 Hospital of PLA Joint Logistic SupportForce, Tianjin 300142)

机构地区：[1]解放军联勤保障部队第983医院急诊科,天津300142 [2]解放军联勤保障部队第983医院,天津300142 [3]解放军联勤保障部队第983医院心内科病区,天津300142

出　　处：《解放军医院管理杂志》2019年第6期512-516,共5页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的急诊拥堵已经成为医院管理者面临的重要问题。文章提出一种基于关键数据的急诊流程绩效管理模型,对胸痛患者进行急诊管理,研制基于手机平台的便携式伴行事件记录设备,利用移动互联网、计算机软件等构建急诊流程管理系统。方法通过对关键绩效指标(Key Performance Indicator, KPI)数据实时采集、传输、呈现、汇总,达到对治疗流程进行监测,增强救治团队信息交流,提升应急响应,促进管理决策以及流程优化。选取胸痛急诊患者257例,其中79例实验组采用新研制的流程管理系统对整个急诊收治流程进行管理,178例对照组按传统收治流程进行救治。结果统计结果表明,首次心电图、专科医生到达、实验室回报、门球时间(door-to-balloon, D-to-B)、首次服药时间等指标均有明显改善,效果显著(P<0. 001)。结论此模型在国内率先应用流程绩效管理理论,具有数据采集方式可靠,数据可靠性、时效性、透明度高,信息管理灵活且可扩展等优点,可以有效缓解急诊拥堵问题。Objective Emergency congestion has become an important problem for the hospital managers. Based on key data for emergency management of chest pain patients, this paper proposed an emergency process performance management model. A portable event record device based on mobile platform was developed, and the emergency process management system was constructed by mobile Internet and computer software. Methods Through real-time collection, transmission, presentation and summary of Key Performance Indicator (KPI) data, we can monitor process of treatment, enhance information exchange among rescue teams, enhance emergency response, and promote management decisions and process optimization. A total of 257 cases of chest pain emergency patients were selected, including 79 cases in the experimental group, with the newly developed process management system used to manage the whole emergency process, and the other 178 cases in the observation group were treated according to the traditional treatment process. Results Statistical results showed that the time of first ECG, specialist arrival, laboratory reward, door-to-balloon and the first medication were significantly improved, and the effect was significant (P<0. 001). Conclusion This model has taken the lead in the application of process performance management theory. It has the advantages of reliable data collection, reliable data, timeliness, transparency, flexible and scalable information management and so on, which can effectively alleviate the emergency congestion problem.

关 键 词：急诊拥堵 关键绩效指标(KPI) 流程绩效管理 

分 类 号：R197.32[医药卫生—卫生事业管理]