急性缺血性卒中流程优化的思考-《中国卫生质量管理》

文章信息/Info

摘要:: 目的探讨急性缺血性卒中流程优化实践、成效与启示。方法分析原有流程，明确存在问题，多部门、多维度协作，构建急性缺血性卒中新流程。结果流程优化后，收治患者DNT时间较优化前明显缩短，候诊时间、抽血等候时间也明显缩短。同时，流程优化后收治了更多的时间窗内患者。结论该院还需进一步优化公共平台配置，进一步缩短患方知情同意时间，推进急诊绿色通道“先诊疗后付费”信息化进程等

Abstract:: To explore the practice, effectiveness and enlightenment of process optimization for acute ischemic stroke.MethodsA new process of acute ischemic stroke was constructed by analyzing the original process, identifying the existing problems and cooperating with multiple departments and dimensions.ResultsAfter process optimization, DNT time of patients admitted was significantly shortened compared with that before optimization, as well as waiting time for diagnosis and blood drawing. Furthermore, after the process optimization, more patients were admitted within the time window.Conclusion The hospital still needs to further optimize the configuration of public platform, further shorten the time of informed consent, and promote the informatization process of "diagnosis and treatment before payment" in the green channel of emergency,etc.