闭环式管理在危重患者MRI检查流程中的应用  

Application of closed-loop management in the examination procedure of magnetic resonance imaging for critically ill patients

作　　者：张孝琴[1] 夏能志 胡建东[1] 张振华[1] 周晓军[1] 李建策[1] ZHANG Xiaoqin;XIA Nengzhi;HU Jiandong;ZHANG Zhenhua;ZHOU Xiaojun;LI Jiance(Department of Radiology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China)

机构地区：[1]温州医科大学附属第一医院放射科,浙江温州325015

出　　处：《温州医科大学学报》2022年第7期582-586,591,共6页Journal of Wenzhou Medical University

基　　金：温州市基础性科研项目(Y20180051)。

摘　　要：目的:探讨闭环式管理在危重患者磁共振成像(MRI)检查流程中的应用效果。方法:从影像归档和通信系统中提取流程改造后2020年8月至9月54例在温州医科大学附属第一医院放射科行MRI检查的危重患者作为实验组,流程改造前2020年6月28例行MRI的危重患者作为对照组。分析危重患者MRI流程中的时间数据,分析问题,通过多部门合作,应用闭环式管理进行流程改造,将MRI预约、检查前等待、检查、报告共享等关键环节形成一个闭环路径。比较两组患者MRI检查的全程时长(包括预约时长、检查前等待时长、检查时长及报告共享时长)、医护患满意度等指标,进行效果评价。结果:实验组患者MRI检查的预约时长、检查前等待时长、检查时长、报告共享时长以及全程时长均较对照组缩短,差异有统计学意义(P<0.05);与流程改造前比,流程改造后医护患满意度均有所提高(P<0.001)。结论:在危重患者MRI流程中应用闭环式管理,使检查各环节无缝对接,有效缩短危重患者MRI全程时长,提高医护患满意度,保障患者医疗安全。Objective:To explore the effect of closed-loop management in the procedure of magnetic resonance imaging(MRI)examination for critically ill patients.Methods:Fifty-four critically ill patients who underwent MRI in the First Affiliated Hospital of Wenzhou Medical University from August 2020 to November 2020 after the process reformation were selected from picture archiving and communication systems(PACS)as the experimental group,and 28 critically ill patients who underwent MRI before the process reformation in June 2020 were allocated to the control group.We analyzed the time data and the problems in the MRI process of critically ill patients.Through multi-department collaboration,closed-loop management measures were applied to transform the process,a closed-loop path was formed for key stages,such as MRI appointments,waiting before examination,examination,and report sharing.The total length of MRI examination(including appointment duration,waiting duration before examinations,examination duration,and report sharing duration),the satisfaction degree of medical staff,and other indicators were compared and evaluated between the two groups.Results:Compared with the control group,the experimental group had significantly shorter appointment time,waiting time,examination time,report sharing time,and the overall MRI examination time(P<0.05).Compared with before process transformation,the satisfaction degree of doctors,nurses and patients after process transformation was improved(P<0.001).Conclusion:The application of closed-loop management could make all aspects of the examination seamless,effectively shorten the whole duration of the MRI examination for critically ill patients,improve the satisfaction degree of medical staff and patients,and guarantee the medical safety of patients.

关 键 词：磁共振成像 危重患者 闭环式管理 

分 类 号：R47[医药卫生—护理学]