Optimization of the intravenous infusion workflow in the isolation ward for patients with coronavirus disease 2019

Abstract

a b s t r a c tObjective: This study aimed to evaluate the effect of optimization of the intravenous infusion workflow in isolation wards for patients with coronavirus disease 2019. Methods: The infusion management group optimized the intravenous infusion workflow based on Hamer's Process Reengineering Theory and applied it to the treatment of patients with coronavirus disease 2019. The work efficiency, patients' satisfaction and economic indicators before and after optimization were compared. Results: After the infusion workflow was optimized, average times for preparation drugs and intravenous admixture, and patients' waiting time decreased from 4.84 min, 4.03 min, and 34.33 min to 3.50 min, 2.60 min, and 30.87 min, respectively, patients' satisfaction increased from 66.7% to 93.3%, and the cost of personal protective equipment (PPE) decreased from 46.67 sets and 186.6 CNY per day to 36.17 sets and 144.6 CNY, with statistical significance. Conclusion: The optimization of the intravenous infusion workflow can effectively decrease the cost of PPE while improving the efficiency of infusion and patients' satisfaction.

Implementation of the Admission Process of Patients Under the Public Crisis Situation of COVID-19 Pandemic: A Real-World Case Study

“…This is consistent with the findings of studies by Gowda 14 and Song. 18 Process reengineering refers to the process of rebuilding and optimizing the original workflow using modern management means. 25 In recent years, the application of process reengineering has produced a series of changes in nursing management; 18 However, the process that conforms to reality and meets the needs should be formulated according to the specific situation.…”

Contribution of nursing research to fighting against COVID-19 pandemic. A systematic review

“…They are relevant to understand the patterns of COVID-19 under different conditions of public and clinical health. In this review, we identify that cross-sectional studies were used to describe the mental health status of health care professionals, especially nurses because they are in the front line of clinical attention 10,20,21,23,30,33,37,39 .…”

“…We also found qualitative studies, which have achieved greater visibility in research because of their usefulness in understanding human behavior and social interactions. They have also been valuable to identify the feelings and concerns of people about the pandemic in both, community and clinical areas 25,39,40,46 . Otherwise, there is a lack of experimental designs in the field of nursing and COVID-19 research, identifying only three quasi-experimental studies 22,35,39 y one experimental 47 , mainly focused on the evaluation of educational models and adherence to preventive measures by healthcare professionals.…”

“…They have also been valuable to identify the feelings and concerns of people about the pandemic in both, community and clinical areas 25,39,40,46 . Otherwise, there is a lack of experimental designs in the field of nursing and COVID-19 research, identifying only three quasi-experimental studies 22,35,39 y one experimental 47 , mainly focused on the evaluation of educational models and adherence to preventive measures by healthcare professionals. Although they are studies with a higher level of evidence and their results can be translated into clinical recommendations, a limited number of those were expected because of their high cost and logistic 56 .…”

“…Likewise, there were four studies where nursing staff describe their experience about human resources and supplies management, as well as, prevention and control actions in non-isolated areas, offering some usefulness advice 26,32,41,44 . Finally, we found some studies focused on considerations for nephrology nursing and the effect of optimization of intravenous infusion therapy in isolated patients with COVID-19 16,39 .…”