Proactive Improvement for Handling Patients with COVID 19 During the Pandemic, in PHC, Riyadh, Saudi Arabia

Résumé fourni par la source

Background: Dealing with the surge of the COVID-19 pandemic patients in the health care facilities needs proper ways to effectively detect the patients with flu symptoms and prevent the transmission of the infection to the other patients and the health care workers in the same time.The fundamental aim of this project is.To improve early detection and management of Covid19 patients during covid19 pandemic Methods: Intervention: Failure Mode Effect Analysis, (FMEA) was used as a Methodology for improvement starting by Possible risk of transmission of infection during patient movement in Wazarat primary healthcare center Implemented change concepts in the form of: (1).Reduce unnecessary steps in patients suspected to have covid19.(2).Performing tasks parallel with the main process, (3).Smooth workflow in a step.(4).Eliminate hand-off failure.(5).Replace with a better value steps, based on outcome redesign the work process Results: Improve Average Pre consultation from 22 minute to 1 minute, Improve Average consultation from 17 to 4 minutes, before swabbing time improved from 7 to 2 minutes, Improved Pharmacy waiting time from 4 to 1, Patient journey improved from 50 to 8 minutes.Outcome results; outbreak infection rate between healthcare professionals Improved overall from 9.8% to 0.5%.Balancing results Overall staff satisfaction Improved from 24% to 85%.Conclusions: In situations of uncertainties like covid19 pandemic, urgent management of situation and interventions are needed.Proactive quality improvement tool like Failure mode and effect analysis and change management concept is recommended to improve.

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