Engpassvermeidung in der Patientenversorgung.

Aim In German hospitals, poorly coordinated processes tie up resources and result in care bottlenecks. Negative effects of this and possibilities for improvement should be highlighted. Method Descriptive systematic literature review (yr 2003–2020) in PubMed and EBSCOhost databases. Results Out of 86...

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Publicado en:Gesundheitsökonomie & Qualitätsmanagement Vol. 27; no. 3; pp. 123 - 131
Autores principales: Spohn, K, Hiller, M, Hering, R, Schröder, S
Formato: research systematic review tables/charts Journal Article
Publicado: Georg Thieme Verlag Stuttgart 2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Georg Thieme Verlag Stuttgart
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        10.1055/a-1676-1160
        157563622
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        atl: Engpassvermeidung in der Patientenversorgung.
      aug:
        au:
          Spohn, K
          Hiller, M
          Hering, R
          Schröder, S
        affil: Connected Care, Philips Health System
      sug:
        subj:
          Hospitals Economics
          Health Facility Administration
          Health Resource Allocation
          Health Services Accessibility
          Quality Improvement
          Patient Care
          Multidisciplinary Care Team
          Health Labor Supply
          Personnel Shortage
          Success
          Human
          Systematic Review
          Germany
          PubMed
          Stakeholder Participation
          Organizational Efficiency
      ab:
        Aim In German hospitals, poorly coordinated processes tie up resources and result in care bottlenecks. Negative effects of this and possibilities for improvement should be highlighted. Method Descriptive systematic literature review (yr 2003–2020) in PubMed and EBSCOhost databases. Results Out of 860 publications, 54 were included. Lean Management, Normalization Theory and Model for Improvement were primarily described. Importance of a multi-stakeholder approach was elaborated. Conclusion Holistic process optimization can help to reduce increasing care bottlenecks. Early on, strategic goals should be translated into operational goals and being made measurable. In-house project offices should support process implementations and manage the alignment of patient care and economic aspects in an interdisciplinary context.
        Zusammenfassung: Zielsetzung In deutschen Krankenhäusern binden schlecht abgestimmte Prozesse Ressourcen und münden in Versorgungsengpässen. Negative Auswirkungen dessen und Verbesserungsmöglichkeiten sollen aufgezeigt werden. Methodik Deskriptive systematische Literaturanalyse (Jhg. 2003–2020) in den Datenbanken PubMed und EBSCOhost. Ergebnisse Von 860 Publikationen wurden 54 eingeschlossen. Lean-Management, Normalization Theory und Model for Improvement wurden beschrieben. Bedeutung eines Multi-Stakeholder Ansatzes wurde ausgeführt. Schlussfolgerung Holistische Prozessoptimierungen können zunehmende Versorgungsengpässe abmildern. Früh sollten strategische in operative Ziele übersetzt und messbar gemacht werden. Innerklinische Projektbüros sollten Prozessimplementierungen begleiten und die Ausrichtung an Patientenversorgungs- und ökonomischen Aspekten im interdisziplinären Kontext steuern.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: German
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