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題名:運用團隊領導模式改善排床等候時間
書刊名:醫學與健康期刊
作者:朱凰瑛許淑純
作者(外文):Chu, Huang-yingShiu, Shu-chuen
出版日期:2013
卷期:2:1
頁次:頁81-87
主題關鍵詞:團隊領導模式等候時間住院滿意度Team leadership modelWaiting timePatient satisfaction
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:7
  • 點閱點閱:7
統計門診2011年預住院等候時間,安排床位逾時率達59.5%,病患對辦理住院滿意度僅66.9%。故引發小組藉由運用團隊領導溝通模式,降低逾時率之專案。經調查發現有未明定當日住院訂床優先順序、未能掌握空床數及預住院名單、未規範病患離院及預住院報到時間等原因,以致造成逾時。透過擬定控制與簽立床位制度規範、規劃電腦預約出院及住院開單制度、建置電腦預約出院及住院開單系統、擬定住院適應症優先順序等改善措施。安排床位逾時率降至7.7%,病患對辦理住院滿意度升至85.3%團隊透過溝通協調,群策群力對策標準化,順暢流程更保障病患安全,讓病患擁有及時就醫權利。建議平行推展至其他照護流程,提升醫療服務品質及效率。
According a 2011 outpatient survey on hospital admission at our hospital there was 59.5% overtime in waiting for hospital admission and arrangement of ward beds and a 66.9% patient satisfaction rate for the admission process. Therefore, a team was established to create a communication strategy that could lower the waiting time for hospital admission. The team found that the reasons for the prolonged waiting time were a lack of clear priority for ward beds, inability to control the number of empty beds available and the number of patients being admitted, and a lack of set time for patients to be discharged and admitted. We established a regulation system that set new rules for admission priority and used a computer-aid program to pre-schedule discharge and admission times, enabling us to better facilitate control and regulation of the number of ward beds, The delay time for hospital admission dropped to 7.7% and patient satisfaction rose to 85.3%. The team also utilized communication and cooperation, standardized group strategies and a smooth admission process to ensure patient safety. We suggest extending this strategy to other medical services to improve the overall medical quality and efficiency.
期刊論文
1.寧致遠(2000)。時間流程,再創企業新機。管理雜誌,317,106-107。  延伸查詢new window
2.Claudia, A.(2003)。Toward Standard Definitions for Waiting Times。Healthcare Management,16,49-53。  new window
3.白佳原、溫梓平、黃筱涵、孫元梅、施艾瑋、黃冠凱(20081200)。預測心臟內科門診病患到診時間之研究。中山醫學雜誌,19(2),187-197。  延伸查詢new window
4.黃靖雅、洪浚逢、謝育驊、白佳原、黃筱涵、溫梓平(20081200)。以預開MBD方法改善醫院住院等候時間之研究。中山醫學雜誌,19(2),199-207。  延伸查詢new window
5.謝玉琴、陳孟琳、梁慧婷、張珍琪、詹肇雄(20100300)。縮短急診等候手術時間專案研究。光田醫學雜誌,5(9),29-40。  延伸查詢new window
6.王啟明、李奉蓉、盧金桃(2009)。縮短住院透析病患等候返回病房時間方案。台灣腎臟護理學會雜誌,8,56-81。  延伸查詢new window
7.Gourdji, I.、McVey, L.、Loiselle, C.(2003)。Patients'€™ satisfaction and importance ratings of quality in an outpatient oncology center。J of Nursing Care Quality,18,43-55。  new window
8.曾佩玲、郭雅鐶、詹恩愉(20041200)。縮短病患出院等候時間改善專案。領導護理,5(2),68-77。  延伸查詢new window
9.Louvain, Belbium、Demoulin, Nathalie(2007)。Waiting time influence on the satisfaction-loyalty relationship in services。Journal of Managing Service Quality,17(2),174-193。  new window
10.曾倫崇(20010400)。醫院門診顧客掛號等候時間之研究。醫院,34(2),27-35。  延伸查詢new window
11.陳建立、梁素琴、戴玫瑰(20080600)。住院會診等候時間、互動品質與病患滿意度之相關性--以某醫學中心為例。醫務管理期刊,9(2),131-144。new window  延伸查詢new window
圖書
1.莊逸洲、黃崇哲(2005)。醫院功能與管理--門診、急診、住院。臺北:華杏。  延伸查詢new window
 
 
 
 
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