Читать книгу The Quality Improvement Challenge - Richard J. Banchs - Страница 47

The Problem Statement

Ideal state: First‐case on‐time start accuracy should be above the 50th percentile of cohort performance. One hundred percent of the causes of delay should be appropriately documented in our EMR.

Current state: Data from Surgical Compass® Cohort Benchmark analysis shows a first‐case on‐time‐start accuracy rate of 16 percent (160/1000) (< 25th percentile of cohort performance) in our operating room. Delayed on‐time‐start is the cause of decreased quality, loss of productivity, and ongoing dissatisfaction among our patients, surgeons, and OR staff. Preliminary data reveal that in up to 65 percent (546) of the delays, the appropriate cause is not well documented, which is preventing our efforts to address the situation.

Gap: 25 percent difference between ideal state and current state, with 546 causes not being fully documented.