An Improvement of Short Stay Service for Rheumatologic Patients at Rheumatology Short Stay Unit of Faculty of Medicine Ramathibodi Hospital
Keywords:
Rheumatology, Model development, Routine to research, experimental development research, Operating manualAbstract
The experimental development research, one group pre-test and post-test design aimed to improve the efficiency of the short stay service for rheumatologic patients. The experimental intervention was a working model, developed by researcher and implemented at Ramathibodi Hospital for 1 year during July 1, 2011 - June 30, 2012. The samples were 66 services, start from patient entering to discharge, during 1 month of pre-test and 1 month of post-test. The respondents for satisfaction questionnaires were 2 executive officers, 6 staffs, and 66 patients. Compared the results between pre-test and post-test in terms of quantity, quality, times and labor-forces consumed, satisfactions of involving person, and unit cost of the service using statistical t, MannWhitney U and Wilcoxon Match-Paired Signed-Ranks at alpha 0.05.
The results revealed that after experimentation, the accuracy and completeness rate of the working by standard operating procedure was increased (P < 0.05), all of the 5 working performances were better (P < 0.05). The new developed model composed of complete elements in term of principles, structures, and implementing methods using only the existing resources by appropriated and not complicate method in developing the model. It can be applied to other working improvement efficiently to be a good example of routine to research emphasizing on staffs participation in every level from the beginning.
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