Pre-hospitalization process reengineering based on the failure mode and effect analysis combined with process analysis method
10.3760/cma.j.cn111325-20221026-00905
- VernacularTitle:基于失效模式与效应分析联合流程分析法的预住院流程再造
- Author:
Jianping XU
1
;
Xiaoyun HU
;
Lihong XU
;
Min ZHANG
;
Shuiqin GU
;
Xinghua QIAN
;
Xiaoyun LI
Author Information
1. 嘉兴市妇幼保健院入院准备中心，嘉兴 314000
- Keywords:
Pre-hospitalization process;
Process reengineering;
Failure mode and effects analysis;
Process analysis method;
Patient satisfaction
- From:
Chinese Journal of Hospital Administration
2023;39(5):387-391
- CountryChina
- Language:Chinese
-
Abstract:
The pre-hospitalization service is an important initiative for medical institutions to implement the national reform of the medical security system. In 2018, Zhejiang province proposed the " most run once reform", requiring the establishment of an admission preparation center to carry out pre-hospitalization services. In June 2021, a certain maternal and child health hospital conducted a process reengineering for the pre admission process of the admission preparation center by applying the combined process analysis and failure mode and effects analysis, high-risk points of the hospitalization process were screened, the job value and job functions of each sector were sorted out, and the sector for improvement sector was evaluated, to launch an independent information system, establish a one click automatic import of pre hospital medical orders function, and remove on-site billing physicians from various specialties for improvement measures. The steps of the process had been optimized, inlcuding issuing pre hospital medical orders, waiting for pre-hospitalization, pre-hospitalization, and so on. The completeness rate of pre hospital medical orders, average waiting days before hospitalization, and patient satisfaction scores of pre hospitalization centers had changed from 91%, 2.99 days, and 93.46 points before process reengineering to 92%, 2.44 days, and 95.80 points after reengineering, respectively. This practice had achieved dual improvements in pre admission service quality and efficiency, so as to provide a reference for China′s medical institutions to carry out safe and efficient pre admission services.
