Objective To identify the hidden waste of human resources of both doctors and patients in the process of emergency diagnosis and treatment by value stream analysis,and to improve the utilization of first aid time by using information management methods.Methods The diagnosis and treatment of non-green pass patients,their families and medical workers in the emergency rescue area were analyzed,time-wasting outbreaks were identified,the information and logistics system centered on the emergency area was constructed,and the results before and after optimization were compared.Results After optimization,patients'medication time,CT time,test time,and process time were shortened compared with the pre-optimization period,and the time efficiency was higher than the pre-optimization period,and the differences were all statistically significant(p<0.05);healthcare workers'process PT and LT were shortened compared with the pre-optimization period,and the time efficiency was higher than the pre-optimization period,and the differences were all statistically significant(p<0.05).Family members'number of runs was reduced from 6 to 0.The number of doctor-nurse contacts decreased compared with the pre-optimization period,and patient satisfaction increased compared with the pre-optimization period,and the differences were both statistically significant(p<0.05).Conclusion The information and logistics system centered on the first aid area was analyzed and constructed by the value stream to reduce the hidden waste of the labor of both doctors and patients and improved the utilization rate of first aid time.
Acute and critical illnessFirst aid timeHidden wasteValue stream analysis
维普
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