The Action Research of Process Improvement in Anesthesia Preoperative Evaluation Clinic : An Example of a Medical Center in Taichung

• Main Authors: TU, HUI-CHEN, 杜慧真
• Other Authors: HSU, CHE-HAN
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/vkquj2

碩士 === 中臺科技大學 === 醫療暨健康產業管理系碩士班 === 106 === According to pre-anesthesia clinic data of a medical center in central Taiwan, the average interview patients have increased from 75 to 120 per day during 2007 to 2012. Due to the differences of anesthesia methods, an-esthesia risk classifications and explanation times of physician to each patient, it somehow causes to delay of operation process. Other problems like the pre-anesthesia interview clinic does not have pre-registration function and patient enters freely to visit the clinic had caused the clinic have too many outpatients and inpatients in the same time. This action research was used PDCA related quality control methods to reorganize and standardize the work contents for improving the operation process under the limited per-sonnel and ensured patient safety and service quality. The other action pur-poses were to reduce the front desk working time and waiting time of pa-tients in order to keep maintain the process smoothly in operating room and improve patient satisfaction and safety. The purposes of this study were: 1) to lean the front desk working process. 2) to implement the anesthesia video watch program. 3) to avoid any postpone of operating schedule. The action research methods were used to explore each operation procedures of the anesthesia interview clinic from the beginning of patient registration to sign an anesthesia consent form during pre-, mid- and post- of the process improvements in this study. We recorded all the process im-provements of the pre-anesthesia interviews and the time spent by each pa-tient. Besides, the causes of delay surgical operations were analyzed and summarized to develop strategies of improvement for better operations. The results showed that the improvements through action research in-clude: registration process, self-health assessment, viewing of pre-anesthesia educational videos, and anesthesia risk assessment. The overall time of pre-anesthesia visit workflow was reduced from 1561.4 seconds (approxi-mately 26 minutes) to 1263.6 seconds (approximately 21 minutes), saving 297.8 seconds (approximately 5 minutes). In conclusion, through quality control methods of action research to evaluate the process steps were not only improved the fluency of pre-surgical operations. But also the cross-sectoral integration and the im-plementation of the full-time anesthesia information system were promoted the patient safety and satisfaction, and improved the administrative efficiency of the operating room under the current limited personnel.