Patient-focused medical care techniques in a hospital

Суслин, С А; Александрович, Суслин Сергей; Vavilov, A.V.; Ginnyatulina, Rufiya I.; И, Гиннятулина Р.

doi:10.35693/2500-1388-2019-4-2-48-52

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Все исследуемые организации изучают удовлетворенность пациентов и стремятся по-удовлетворенность пациента и его родственников, однако не может служить показателем качества оказания МП [19][20][21][22][23][24]. Тем не менее одним из критериев новой модели является создание инфоцентра, позволяющего контролировать качество деятельности МО в режиме реального времени [25][26][27].…”

Section: результаты и обсуждениеunclassified

Quality balanced scorecard for the outpatient clinic

Latukha,

Son,

Bravve

et al. 2024

Cardiovasc Ther Prev

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The quality audit system for healthcare in various countries is based on the quality of medical services, the satisfaction of the patient and his relatives, as well as the quality of medical documentation. At the same time, quality indicators of healthcare facilities include criteria of the social and economic efficiency. Often these groups of indicators are considered by researchers separately from each other, and the literature available does not show balanced approaches to combining indicators from different groups within one process, which served as the basis for this work.Aim. The article is devoted to identifying the specifics of quality balanced scorecard for outpatient clinic using the example of the results of preventive examination for children in the first year of life.Material and methods. The study of quality indicators of the outpatient clinic was carried out from 2019 to 2023. The base of the study was the Clinical Consultative and Diagnostic Clinic № 27 in Novosibirsk. The study of the Clinic development was carried out from 2012 to 2023. The work used data from a social and expert survey of managers (20122018), as well as comparative modeling, general logical methods and techniques.Results. The longest multi-level and complex medical service is the process of preventive examination of children in the first year of life. Therefore, using his example, a quality balanced scorecard for the outpatient clinic was developed. At the first stage, medical quality criteria were determined. Patients were interviewed and quality criteria important for the patients' parents were determined. The complexity, multi-stage nature and short time frame for providing medical services determined the criteria for the economic efficiency. At the second stage, criteria for the management effectiveness and criteria for quality monitoring were developed, which allow department heads to track key performance indicators, as well as build coordinated work between various departments. At the third stage, the quality criteria were developed, which, on the one hand, reflect the clinic work, and, on the other hand, are not redundant and can be used to assess the effectiveness of the organization as a whole.Conclusion. The study showed that to increase the sustainability of the clinic development, effective monitoring based on key performance indicators is necessary. The classical approach to determining the effectiveness of medical facilities is based on general performance indicators to the quality criteria of individual processes, which does not allow identifying violations in individual medical and auxiliary processes, and, accordingly, does not allow identifying ways to solve them. It also does not indicate the level of violation. The use of a process and system approach in developing quality criteria allows developing a quality balanced scorecard with respect to the criteria of various groups, which ultimately reflects the effectiveness of processes as a whole, provides an understanding of cause-and-effect relationships and identifies the root cause of destabilization.

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Section: результаты и обсуждениеunclassified

Quality balanced scorecard for the outpatient clinic

Latukha,

Son,

Bravve

et al. 2024

Cardiovasc Ther Prev

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“…В приемное отделение больницы поступают пациенты, нуждающиеся в квалифицированном обследовании и круглосуточном стационарном лечении. Тенденция увеличения доли больных, нуждающихся в оказании экстренной медицинской помощи, система контроля качества медицинской помощи и обоснованности госпитализации переориентируют функции приемного отделения [1][2][3][4][5][6][7].…”

Section: Introductionunclassified

“…Исследования, проведенные в Соединенных Штатах, Канаде, Великобритании и Австралии, показывают, что объем экстренной медицинской помощи увеличивается ежегодно на 3-6% [8,9]. Качество диагностики в приемном отделении определяется многими факторами: укомплектованностью дежурными врачами и их квалификацией, оснащенностью лабораторно-диагностическим оборудованием, маршрутизацией пациентов, организационными причинами [2,5,6].…”

Section: Introductionunclassified

Improvement of the acceptance of the city multidisciplinary hospital

Суслин

Vavilov

Гиннятулина

2020

Issled. prakt. med. (Print)

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Purpose of the study. Improving the work of the admission department of a large multidisciplinary hospital with the help of new organizational technologies.Materials and methods. The basis of the study is N.I. Pirogov Samara State Clinical Hospital No. 1. The paper used methods of organizational modeling and statistical analysis.Results. Prior to the introduction of new organizational patient-oriented technologies, the following problems were identified in the hospital admission department: mixing flows of planned and emergency patients, patients with a neurological and cardiology profile, patients receiving paid services; the inability to provide resuscitation in the ward; ineffective routing and coordination of patients; the start time for medical care ranged from 30 minutes to 3 hours. After improving the organization of medical care in the admission department, the infrastructure, the order of the department, the staffing of the department and the logistics of patients changed. The flows of patients were divided, zones for emergency patients were allocated: the “red zone” is intended for patients in an extremely serious condition with impaired vital functions; The "yellow zone" is intended for patients who are in a serious condition or in a state of moderate severity, with impaired self-movement, the "green zone" is intended for patients whose health condition does not threaten life. As a result of the introduced changes, the time to begin providing medical care to patients in serious condition was reduced to 1–2 minutes, the time spent by patients in the admission department was reduced to an average of 40 minutes, the number of outpatients received over the past three years increased by 37.7% (from 15528 to 21387).Conclusion. As a result of improving the work of the admission department, the time spent by patients in the admission department was reduced; increased throughput of the department; qualitative and quantitative indicators of work have changed.

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Structure of navigation information as a criterion of efficient visualization of a lean hospital

Курмангулов¹,

Isakova²,

Брынза³

2021

Science and Innovations in Medicine

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Objectives to determine the main types of structuring information of navigation systems in medical organizations of the Russian Federation and evaluate their compliance with the principles of lean production. Material and methods. A structural analysis of the types of information presentation in navigation systems was based on the publications selected from the E-library, Medline, Scopus, PubMed and the Cochrane Library databases. The research process included the use of research methods for law, historical, descriptive-analytical methods, content analysis. Results. The structuring of navigation information can be done according to numerological, architectural, routing, alphabetical, structural, functional and combined principles. The optimal choice of the principle of organizing information should depend on how detailed the navigation system is, on the analysis of the architectural solutions used for a medical organization and on the calculation of navigation objects. It is possible to increase the efficiency of structuring navigational information using an appropriate color scheme, infographic and compositional solutions. When improving the navigation systems of medical institutions as a part of lean hospital management, it is necessary to audit all available navigation elements to determine the principle of structuring the information. Conclusion. The effective visualization of a medical institution is the provision of clear and understandable navigational information. One of the most effective methods to systematize the navigation information is its structuring.

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Patient-focused medical care techniques in a hospital

Cited by 3 publications

References 7 publications

Quality balanced scorecard for the outpatient clinic

Quality balanced scorecard for the outpatient clinic

Improvement of the acceptance of the city multidisciplinary hospital

Structure of navigation information as a criterion of efficient visualization of a lean hospital

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