Closing the Gap in Direct Admissions: A Quality Improvement Project.
| Autor: | McKenna AL; Department of Internal Medicine, Division of Community Internal Medicine (Dr Fitzgerald) and Department of Internal Medicine, Division of Hospital Internal Medicine (Dr Cowdell), Mayo Clinic, Jacksonville, Florida; Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Jacksonville, Florida (Drs McKenna, Carter, Kase, Kesler, and Varma); and Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Scottsdale, Arizona (Dr McCain). Dr Kesler is now a fellow, Indiana University, Indianapolis., Carter LE, Kase AM, McCain JD, Fitzgerald PJ, Kesler AM, Varma S, Cowdell JC |
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| Jazyk: | angličtina |
| Zdroj: | Quality management in health care [Qual Manag Health Care] 2024 Jan-Mar 01; Vol. 33 (1), pp. 52-58. Date of Electronic Publication: 2023 Jun 02. |
| DOI: | 10.1097/QMH.0000000000000412 |
| Abstrakt: | Background and Objectives: Direct admissions (DAs) are nonemergent admissions to the inpatient unit that bypass the emergency department. Our institution lacked a standardized DA process, which resulted in postponement of prompt patient care. The purpose of the present study was to review and modify the existing DA process and to decrease the time between patient arrival for DA and placement of initial clinician orders. Methods: A team was assembled and tasked with using quality improvement tools (eg, Define-Measure-Analyze-Improve-Control, fishbone diagrams, process mapping) to streamline the DA process to decrease average time between patient arrival for DA and initial clinician orders, from 84.4 minutes in July 2018 to 60 minutes or less by June 2019, without negatively affecting patient admission loyalty questionnaire scores. Results: In a standardized and streamlined DA process, average time between patient arrival and provider order placement decreased to less than 60 minutes. This reduction was achieved without substantially affecting patient loyalty questionnaire scores. Conclusion: By using a quality improvement methodology, we developed a standardized DA process that resulted in prompt care for patients without decreasing admission loyalty scores. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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