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目的探讨大型综合性医院住院患者CT检查流程优化,缩短患者检查等待时间,提高患者满意度。方法分析2015年5月CT检查流程中存在的问题,于2015年6月对流程中的预约、准备、检查等环节进行流程优化重组,如分时段预约、增强注射穿刺前移、检查前的准备、运输流程改变等,比较改造前(2015年5月)和改造后(2015年8月)医生和患者的满意度、患者预约时间、等待时间的情况。结果改造后,住院患者的满意度从改造前的74.5%上升到91.5%,医生的满意度从82.5%上升到92.5%。改造后,住院患者CT检查预约时间由改造前的(18.86±4.50)h降低到(8.44±3.20)h,检查点等待时间由(110.01±27.00)min降低到(79.56±33.41)min,差异有统计学意义(P<0.001)。结论优化CT检查服务流程,可缩短患者预约和等候时间,提高住院患者和医务人员的满意度。
Objective To investigate the optimization of the CT examination procedure in inpatients in large general hospitals to shorten the waiting time for patient examination and improve patient satisfaction. Methods To analyze the problems existing in the CT examination procedure in May 2015, and to optimize and reorganize the procedures such as reservation, preparation and examination in the process in June 2015, such as reservation in different periods, enhancement of advancement of injection puncture and preparation before examination , Changes in transportation procedures, and so on. The satisfaction of doctors and patients, patient appointment time and waiting time before (May 2015) and after transformation (August 2015) were compared. Results After the reformation, the satisfaction of inpatients increased from 74.5% before rehabilitation to 91.5%, and the satisfaction of doctors increased from 82.5% to 92.5%. After the reconstruction, the waiting time for CT examination in hospitalized patients decreased from (18.86 ± 4.50) h to (8.44 ± 3.20) h and the wait time at checkpoint decreased from (110.01 ± 27.00) min to (79.56 ± 33.41) min, the difference was Statistical significance (P <0.001). Conclusion Optimization of CT examination service flow can shorten the reservation and waiting time for patients and improve the satisfaction of hospitalized patients and medical personnel.