首页|PDCA持续改进工作流程提升PET/CT工作效率的研究与实践

PDCA持续改进工作流程提升PET/CT工作效率的研究与实践

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目的 探讨PDCA持续改进在核医学科正电子发射断层显像/X线计算机体层成像仪(Positron Emission Tomography/Computed Tomography,PET/CT)工作流程中的优化效果,以期在保证工作质量的前提下提升工作效率.方法 利用鱼骨图方法分析归纳PET/CT检查常规管理中的不足之处,依据"二八法则"提出并执行优化PET/CT检查流程,运用信息化管理、完善个体化诊疗方案、动态调整协作流程、强化人文关怀的针对性措施,比较实施PDCA持续改进前后核医学科患者流通量与候检时间的优化效果.结果 实施PDCA持续改进后,在医、技、护协同的联动模式下,工作量大幅增长,患者候检时间缩短、流通量增加,科室工作效率提升,且差异具有统计学意义(P<0.05).结论 基于PDCA持续改进的PET/CT工作流程可以对核医学科的患者诊疗过程进行有序管理,提高整体工作效率.
Research and Practice of PDCA Continuous Improvement Workflow to Improve PET/CT Work Efficiency
Objective To explore the optimization effect of PDCA continuous improvement in positron emission tomography/computed tomography(PET/CT)workflow of nuclear medicine discipline in order to improve work efficiency under the premise of ensuring work quality.Methods The fishbone diagram method was used to analyze and summarize the shortcomings in the routine management of PET/CT examinations.Based on the"Pareto principle",the PET/CT examination process was proposed and optimized.By using information management,improving personalized diagnosis and treatment plans,dynamically adjusting the injection frequency of collaborative processes,and strengthening humanistic care,the optimization effects of the patient circulation volume and waiting time in the nuclear medicine department before and after the implementation of PDCA continuous improvement were compared.Results After the implementation of PDCA continuous improvement,the workload was significantly increased,patient's waiting time was shortened,the circulation volume was increased,and the work efficiency was improved under the collaborative of clinicians,technicians and nurses.The difference was statistically significant(P<0.05).Conclusion The workflow of PET/CT based on PDCA continuous improvement can improve the management of the diagnosis and treatment process of patients in nuclear medicine department and improve the overall work efficiency.

PET/CTPDCAfull process managementinformation managementpatient circulation

张中一、侯晓广、蔡良、陈曙光

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复旦大学附属中山医院 核医学科,上海 200032

PET/CT PDCA 全流程协同管理 信息化管理 患者流通量

上海市临床重点专科建设项目

shslczdzk03401

2024

中国医疗设备
中国整形美容协会

中国医疗设备

CSTPCD
影响因子:0.825
ISSN:1674-1633
年,卷(期):2024.39(1)
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