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縮短醫院轉科病歷傳送時間方法之探討

A Study on Shortening the Time for Transfer of Medical Records

摘要


Outpatients often schedule appointments with several specialists on the same day in order to save their time. However, they must wait for the medical records to be transferred from one office to the next so that the second doctor interview them. We found in our medical center that patients were so unsatisfied with the time taken for transfer of the medical records (IMR) We designed a project with the goal of achieving mg TMR within 16 minutes alter the patient left the first clinic. The methods used in this study were based on the researcher's observation, recording and analysis. Data of TMR time intervals was collected segmentally, with the exception of the time taken by the nurse se to finish the OPD chart, which was estimated by inspection and supposing. (for the detail, please see the text) After ascertaining the time required for TMR before intervention, we had 2 meetings with those representatives of the nursing department to decide the ways for shortening the time intervals. Both the medical-record section and the nursing department then implemented the agreements on procedures. The average time for TMR was changed front 17.7 minutes before into 12.9 minutes alter the intervention (p<0.01) that showed a shortening of 27% in transfer duration and was better that the target of 16-minutes. The major factor in achieving such a success could be mainly the cooperation of the nurses, who shortened their portion of the total TMR with an average of 4.2 minutes that was 88% of the overall reduction. We conclude that the success of the project was due to the ”Hawthome Effect” and recommend ways of maintaining this effect in the future.

關鍵字

病歷 轉科病歷 傳送時間

並列摘要


Outpatients often schedule appointments with several specialists on the same day in order to save their time. However, they must wait for the medical records to be transferred from one office to the next so that the second doctor interview them. We found in our medical center that patients were so unsatisfied with the time taken for transfer of the medical records (IMR) We designed a project with the goal of achieving mg TMR within 16 minutes alter the patient left the first clinic. The methods used in this study were based on the researcher's observation, recording and analysis. Data of TMR time intervals was collected segmentally, with the exception of the time taken by the nurse se to finish the OPD chart, which was estimated by inspection and supposing. (for the detail, please see the text) After ascertaining the time required for TMR before intervention, we had 2 meetings with those representatives of the nursing department to decide the ways for shortening the time intervals. Both the medical-record section and the nursing department then implemented the agreements on procedures. The average time for TMR was changed front 17.7 minutes before into 12.9 minutes alter the intervention (p<0.01) that showed a shortening of 27% in transfer duration and was better that the target of 16-minutes. The major factor in achieving such a success could be mainly the cooperation of the nurses, who shortened their portion of the total TMR with an average of 4.2 minutes that was 88% of the overall reduction. We conclude that the success of the project was due to the ”Hawthome Effect” and recommend ways of maintaining this effect in the future.

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