在COVID-19大流行期间将社会心理肿瘤临床护理转变为远程医疗工作流程的质量改进项目:一项准实验研究

Rickinder Sethi, Brendan Lyver, Jaswanth Gorla, Robin Forbes, Kathleen A Sheehan, Christian Schulz-Quach
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摘要

摘要介绍。COVID-19大流行迫切需要一种创新的社会心理肿瘤学护理提供方法。加拿大多伦多大学卫生网络的社会心理肿瘤学服务迅速过渡到患者和临床医生可以随时获得和使用的数字技术,促进了护理提供,同时减少了COVID-19的传播。本研究的目的是提供一个有效的框架过渡到数字化交付方法的护理。方法。建立了一个质量改进小组,其任务是成功地将服务从主要的面对面护理方法快速无缝地过渡到数字交付方法。这包括分析社会心理肿瘤学的工作流程,规划和实施数字化转型,并通过使用调查收集数据和反馈这一数字化工作流程的影响。结果。调查的平均回应率为69.1%。反馈和数据收集表明,在过渡后,超过90%的心理社会肿瘤学过程是用数字工具完成的,对临床交付的影响有限。临床医生报告说,他们对使用数字工作流程工具提供护理感到自信和满意。结论。大学健康网络的社会心理肿瘤学质量改进小组为过渡到提供护理的新方法提供了一个有效的框架。随着技术的不断发展,将诊所和部门过渡到新的数字工具的指导对医疗机构来说至关重要。本研究提供的框架可用于确保新技术的成功实施。
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Quality Improvement Project to Transition Psychosocial Oncology Clinical Care to a Telehealth Workflow during the COVID-19 Pandemic: a Quasi-Experimental Study
Abstract Introduction. The COVID-19 pandemic created an urgent need for an innovative method of care delivery for psychosocial oncology. The psychosocial oncology services at the University Health Network in Toronto, Canada transitioned expeditiously to digital technologies that were readily available and accessible for patients and clinicians, facilitating care provision while reducing the transmission of COVID-19. This study aims to provide a validated framework for transitioning to digital delivery methods of care. Methods. A quality improvement team was established and tasked with successfully transitioning services from primarily in-person to digital delivery methods of care quickly and seamlessly. This included analyzing the psychosocial oncology workflow, planning and implementing a digital transition, and collecting data and feedback on the impact of this digital workflow through the use of surveys. Results. The average response rate of the surveys was 69.1%. Feedback and data collection demonstrated that more than 90% of psychosocial oncology processes were completed with digital tools following the transition with limited impact on clinical delivery. The clinicians reported feeling confident and satisfied providing care using digital workflow tools. Conclusion. The psychosocial oncology quality improvement team at the University Health Network provides a validated framework for transitioning to new methods of delivering care. As technology continues to develop, guidance on transitioning clinics and departments to new digital tools will be crucial for healthcare institutions. The framework provided in this study can be utilized to ensure the successful implementation of new technologies.
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