{"id"558,"date":"2024-07-22T17:10:16","date_gmt":"2024-07-22T10:10:16","guid":{"rendered":"https:\/\/tcvn.gov.vn\/?p=80558"},"modified":"2024-07-22T17:25:41","modified_gmt":"2024-07-22T10:25:41","slug":"danh-gia-hieu-qua-buoc-dau-cua-lean-voi-qua-trinh-kham-benh-ngoai-tru-tai-phong-kham-tim-mach-long-nguc-benh-vien-huu-nghi-viet-duc","status":"publish","type":"post","link":"https:\/\/tcvn.gov.vn\/danh-gia-hieu-qua-buoc-dau-cua-lean-voi-qua-trinh-kham-benh-ngoai-tru-tai-phong-kham-tim-mach-long-nguc-benh-vien-huu-nghi-viet-duc\/22\/07\/2024\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 b\u01b0\u1edbc \u0111\u1ea7u c\u1ee7a LEAN v\u1edbi qu\u00e1 tr\u00ecnh kh\u00e1m b\u1ec7nh ngo\u1ea1i tr\u00fa t\u1ea1i ph\u00f2ng kh\u00e1m tim m\u1ea1ch l\u1ed3ng ng\u1ef1c B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c"},"content":{"rendered":"
    \n
  1. \u0110\u1eb7t v\u1ea5n \u0111\u1ec1<\/strong><\/li>\n<\/ol>\n

    Qu\u1ea3n tr\u1ecb tinh g\u1ecdn l\u00e0 t\u01b0 duy qu\u1ea3n tr\u1ecb t\u1ea1o ra gi\u00e1 tr\u1ecb gia t\u0103ng cho doanh nghi\u1ec7p, t\u1ed5 ch\u1ee9c b\u1eb1ng c\u00e1ch d\u00f9ng tr\u00ed tu\u1ec7 c\u1ee7a con ng\u01b0\u1eddi nh\u1eb1m c\u1eaft gi\u1ea3m t\u1ed1i \u0111a l\u00e3ng ph\u00ed [1]. L\u0129nh v\u1ef1c qu\u1ea3n l\u00fd ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111ang tr\u1edf th\u00e0nh m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng tr\u00ean ph\u1ea1m vi th\u1ebf gi\u1edbi do nhu c\u1ea7u ng\u00e0y c\u00e0ng t\u0103ng trong ph\u1ea7n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. Nhi\u1ec1u qu\u1ed1c gia n\u1ed7 l\u1ef1c c\u1ea3i thi\u1ec7n v\u00e0 ph\u00e1t tri\u1ec3n h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a h\u1ecd \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nh\u1eefng nhu c\u1ea7u ng\u00e0y c\u00e0ng cao c\u1ee7a kh\u00e1ch h\u00e0ng v\u1ec1 d\u1ecbch v\u1ee5 y t\u1ebf.<\/p>\n

    Nhi\u1ec1u b\u1ec7nh vi\u1ec7n tr\u00ean th\u1ebf gi\u1edbi \u0111\u00e3 b\u1eaft \u0111\u1ea7u nghi\u00ean c\u1ee9u v\u00e0 chuy\u1ec3n h\u01b0\u1edbng sang \u1ee9ng d\u1ee5ng t\u01b0 duy tinh g\u1ecdn (LEAN) \u0111\u1ec3 t\u1ea1o ra nh\u1eefng l\u1ee3i th\u1ebf trong vi\u1ec7c c\u1ea3i thi\u1ec7n hi\u1ec7u qu\u1ea3 ho\u1ea1t \u0111\u1ed9ng v\u00e0 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng v\u1edbi nh\u1eefng y\u00eau c\u1ea7u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Hi\u1ec7n nay \u0111\u00e3 c\u00f3 nhi\u1ec1u t\u1ed5 ch\u1ee9c th\u1ef1c s\u1ef1 th\u00e0nh c\u00f4ng v\u00e0 c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh c\u0169ng nh\u01b0 hi\u1ec7u qu\u1ea3 d\u1ecbch v\u1ee5 th\u00f4ng qua vi\u1ec7c \u00e1p d\u1ee5ng LEAN.<\/p>\n

    Vi\u1ec7c \u00e1p d\u1ee5ng t\u01b0 duy tinh g\u1ecdn trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n s\u1edbm nh\u1ea5t t\u1ea1i Anh v\u00e0o n\u0103m 2001 v\u00e0 Hoa K\u1ef3 v\u00e0o n\u0103m 2002 [2]. Trong hai th\u1eadp k\u1ef7 qua, vi\u1ec7c th\u1ef1c hi\u1ec7n LEAN trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111\u00e3 t\u0103ng l\u00ean nhanh ch\u00f3ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n [3]. Vi\u1ec7c tri\u1ec3n khai LEAN trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe mang l\u1ea1i nh\u1eefng l\u1ee3i \u00edch \u0111\u01b0\u1ee3c ghi nh\u1eadn nh\u01b0 gi\u1ea3m sai s\u00f3t v\u1ec1 th\u1ee7 t\u1ee5c h\u00e0nh ch\u00ednh, th\u1eddi gian ch\u1edd \u0111\u1ee3i v\u00e0 chi ph\u00ed c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, c\u0169ng nh\u01b0 mang l\u1ea1i nh\u1eefng l\u1ee3i \u00edch v\u00f4 h\u00ecnh nh\u01b0 t\u0103ng s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 t\u0103ng \u0111\u1ed9ng l\u1ef1c quay l\u1ea1i tr\u1ea3i nghi\u1ec7m d\u1ecbch v\u1ee5 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh [4-6].<\/p>\n

    Trung t\u00e2m y t\u1ebf Virginia Mason \u1edf Seattle, Washington khi \u00e1p d\u1ee5ng LEAN \u0111\u00e3 c\u00f3 th\u1ec3 gi\u1ea3m t\u1ef7 l\u1ec7 ng\u01b0\u1eddi b\u1ec7nh m\u1eafc b\u1ec7nh tr\u00e0n kh\u00ed ph\u1ed5i li\u00ean quan \u0111\u1ebfn m\u00e1y th\u1edf t\u1eeb 34 tr\u01b0\u1eddng h\u1ee3p xu\u1ed1ng c\u00f2n 4 tr\u01b0\u1eddng h\u1ee3p. Cam k\u1ebft kh\u00f4ng ng\u1eebng c\u1ee7a h\u1ecd \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 an to\u00e0n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe tinh g\u1ecdn \u0111\u00e3 \u0111\u01b0a h\u1ecd tr\u1edf th\u00e0nh m\u1ed9t trong nh\u1eefng b\u1ec7nh vi\u1ec7n an to\u00e0n nh\u1ea5t trong c\u1ea3 n\u01b0\u1edbc. M\u1ed9t \u0111\u01a1n v\u1ecb cung c\u1ea5p d\u1ecbch v\u1ee5 y t\u1ebf \u1edf ph\u00eda \u0111\u00f4ng b\u1eafc Wisconsin c\u00f3 t\u00ean \u201cThedaCare Inc\u201d n\u0103m 2004 \u0111\u00e3 ti\u1ebft ki\u1ec7m 3,3 tri\u1ec7u \u0111\u00f4 la chi ph\u00ed, gi\u1ea3m 21% s\u1ed1 ng\u00e0y t\u1ed3n \u0111\u1ecdng c\u1ee7a c\u00e1c kho\u1ea3n ph\u1ea3i thu, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi kho\u1ea3ng 12 tri\u1ec7u \u0111\u00f4 la ti\u1ec1n m\u1eb7t v\u00e0 b\u1ed1 tr\u00ed l\u1ea1i nh\u00e2n vi\u00ean trong m\u1ed9t s\u1ed1 l\u0129nh v\u1ef1c b\u1eb1ng c\u00e1ch n\u00e2ng cao hi\u1ec7u qu\u1ea3 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ecd, d\u1eabn \u0111\u1ebfn ti\u1ebft ki\u1ec7m \u0111\u01b0\u1ee3c 33 nh\u00e2n vi\u00ean to\u00e0n th\u1eddi gian [8].<\/p>\n

    B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c l\u00e0 b\u1ec7nh vi\u1ec7n ngo\u1ea1i khoa tuy\u1ebfn cu\u1ed1i, n\u01a1i ti\u1ebfp nh\u1eadn c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng, ph\u1ee9c t\u1ea1p, c\u00f3 bi\u1ebfn ch\u1ee9ng t\u1eeb c\u00e1c tuy\u1ebfn tr\u01b0\u1edbc chuy\u1ec3n \u0111\u1ebfn \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb. H\u00e0ng n\u0103m b\u1ec7nh vi\u1ec7n c\u00f3 kho\u1ea3ng 40.000 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebfn kh\u00e1m c\u1ea5p c\u1ee9u, theo d\u00f5i, \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n v\u00e0o c\u00e1c khoa 18.433 tr\u01b0\u1eddng h\u1ee3p, chu\u1ea9n b\u1ecb v\u00e0 l\u00e0m th\u1ee7 t\u1ee5c m\u1ed5 c\u1ea5p c\u1ee9u cho 4.377 tr\u01b0\u1edfng h\u1ee3p v\u00e0 m\u1ed5 theo k\u1ebf ho\u1ea1ch kho\u1ea3ng h\u01a1n 70.000 tr\u01b0\u1eddng h\u1ee3p. Nh\u1eadn th\u1ea5y l\u1ee3i \u00edch c\u1ee7a LEAN khi \u00e1p d\u1ee5ng trong h\u1ec7 th\u1ed1ng y t\u1ebf, B\u1ec7nh vi\u1ec7n \u0111ang nghi\u00ean c\u1ee9u v\u00e0 \u00e1p d\u1ee5ng th\u00ed \u0111i\u1ec3m LEAN t\u1ea1i khu v\u1ef1c kh\u00e1m ngo\u1ea1i tr\u00fa \u0111\u1ec3 t\u1eeb \u0111\u00f3 nh\u00e2n r\u1ed9ng m\u00f4 h\u00ecnh n\u00e0y trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng kh\u00e1c t\u1ea1i b\u1ec7nh vi\u1ec7n. Do \u0111\u00f3 ch\u00fang t\u00f4i th\u1ef1c hi\u1ec7n \u0111\u1ec1 t\u00e0i n\u00e0y v\u1edbi v\u1edbi m\u1ee5c ti\u00eau \u201c\u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 b\u01b0\u1edbc \u0111\u1ea7u t\u00e1c \u0111\u1ed9ng c\u1ee7a qu\u1ea3n tr\u1ecb tinh g\u1ecdn t\u1edbi quy tr\u00ecnh kh\u00e1m b\u1ec7nh ngo\u1ea1i tr\u00fa t\u1ea1i ph\u00f2ng kh\u00e1m tim m\u1ea1ch l\u1ed3ng ng\u1ef1c \u2013 B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c\u201d.<\/p>\n

      \n
    1. \u0110\u1ed1i t\u01b0\u1ee3ng v\u00e0 ph\u01b0\u01a1ng ph\u00e1p<\/strong><\/li>\n<\/ol>\n

      2.1. \u0110\u1ed1i t\u01b0\u1ee3ng<\/strong><\/p>\n

      Nh\u00f3m 1: Giai \u0111o\u1ea1n tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n d\u1ef1 \u00e1n LEAN:<\/p>\n

        \n
      • D\u1eef li\u1ec7u v\u1ec1 th\u1eddi gian kh\u00e1m b\u1ec7nh c\u1ee7a 626 ng\u01b0\u1eddi b\u1ec7nh kh\u00e1m t\u1ea1i Ph\u00f2ng kh\u00e1m Tim m\u1ea1ch t\u1ea1i th\u1eddi \u0111i\u1ec3m th\u00e1ng 10 \u2013 Th\u00e1ng 11\/2022<\/li>\n
      • 112 ng\u01b0\u1eddi b\u1ec7nh kh\u00e1m t\u1ea1i Ph\u00f2ng kh\u00e1m Tim m\u1ea1ch t\u1ea1i th\u1eddi \u0111i\u1ec3m th\u00e1ng 11\/2022 \u0111\u1ec3 ph\u1ecfng v\u1ea5n s\u1ef1 h\u00e0i l\u00f2ng.<\/li>\n<\/ul>\n

        Nh\u00f3m 1: Giai \u0111o\u1ea1n \u00a0sau khi th\u1ef1c hi\u1ec7n d\u1ef1 \u00e1n LEAN:<\/p>\n

          \n
        • D\u1eef li\u1ec7u v\u1ec1 th\u1eddi gian kh\u00e1m b\u1ec7nh c\u1ee7a 205 ng\u01b0\u1eddi b\u1ec7nh kh\u00e1m t\u1ea1i Ph\u00f2ng kh\u00e1m Tim m\u1ea1ch t\u1eeb 10\/4\/2023 \u2013 21\/4\/2023<\/li>\n
        • 200 ng\u01b0\u1eddi b\u1ec7nh kh\u00e1m t\u1ea1i Ph\u00f2ng kh\u00e1m Tim m\u1ea1ch t\u1ea1i th\u1eddi \u0111i\u1ec3m 10\/4\/2023 \u2013 21\/4\/2023 \u0111\u1ec3 ph\u1ecfng v\u1ea5n s\u1ef1 h\u00e0i l\u00f2ng.<\/li>\n<\/ul>\n

          Ti\u00eau chu\u1ea9n lo\u1ea1i ra kh\u1ecfi nghi\u00ean c\u1ee9u: B\u1ec7nh nh\u00e2n t\u1eed vong trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

          2.2. Th\u1eddi gian: <\/strong>T\u1eeb th\u00e1ng 10 n\u0103m 2022 \u0111\u1ebfn th\u00e1ng 5 n\u0103m 2023.<\/span><\/p>\n

          2.3. \u0110\u1ecba \u0111i\u1ec3m: <\/strong>Ph\u00f2ng kh\u00e1m Tim m\u1ea1ch B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c<\/span><\/p>\n

          2.4. Ph\u01b0\u01a1ng ph\u00e1p: <\/strong>Nghi\u00ean c\u1ee9u can thi\u1ec7p<\/span><\/p>\n

          2.5 C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh: <\/strong>Theo chu tr\u00ecnh DMAIC, g\u1ed3m 5 giai \u0111o\u1ea1n<\/p>\n

          Giai \u0111o\u1ea1n 1: <\/em>D<\/em>efine –<\/em> X\u00e1c \u0111\u1ecbnh v\u1ea5n \u0111\u1ec1<\/em>: l\u1ef1a ch\u1ecdn v\u1ea5n \u0111\u1ec1 nghi\u00ean c\u1ee9u \u0111\u1ec3 tr\u00ecnh Ban gi\u00e1m \u0111\u1ed1c ph\u00ea duy\u1ec7t d\u1ef1 \u00e1n.<\/p>\n

          Giai \u0111o\u1ea1n 2: <\/em>M<\/em>easure<\/em> – \u0110o l\u01b0\u1eddng:<\/em> \u0111o l\u01b0\u1eddng x\u00e1c \u0111\u1ecbnh th\u1ef1c tr\u1ea1ng c\u1ee7a quy tr\u00ecnh kh\u00e1m b\u1ec7nh t\u1ea1i b\u1ec7nh vi\u1ec7n t\u1eeb kh\u00e2u ti\u1ebfp \u0111\u00f3n, kh\u00e1m b\u1ec7nh, th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 c\u1eadn l\u00e2m s\u00e0ng, k\u1ebft lu\u1eadn kh\u00e1m v\u00e0 \u0111\u00f3ng ti\u1ec1n.<\/p>\n

          Giai \u0111o\u1ea1n 3: <\/em>A<\/em>nalyse<\/em> \u2013 Ph\u00e2n t\u00edch:<\/em> ph\u00e2n t\u00edch quy tr\u00ecnh kh\u00e1m b\u1ec7nh, s\u1ed1 li\u1ec7u \u0111\u00e3 \u0111o l\u01b0\u1eddng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh n\u00fat th\u1eaft c\u1ee7a quy tr\u00ecnh kh\u00e1m b\u1ec7nh.<\/p>\n

          Giai \u0111o\u1ea1n 4: <\/em>I<\/em>mprove<\/em> – c\u1ea3i ti\u1ebfn:<\/em> ph\u00e2n t\u00edch n\u00fat th\u1eaft, x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5 t\u1eeb \u0111\u00f3 x\u00e1c \u0111\u1ecbnh c\u00e1c bi\u1ec7n ph\u00e1p c\u1ea3i ti\u1ebfn nhanh, c\u1ea3i ti\u1ebfn s\u00e2u \u0111\u1ec3 tr\u00ecnh Ban gi\u00e1m \u0111\u1ed1c ph\u00ea duy\u1ec7t; Ph\u1ed1i h\u1ee3p c\u00f9ng c\u00e1c Khoa, ph\u00f2ng li\u00ean quan th\u1ef1c hi\u1ec7n c\u00e1c gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn. Ti\u1ebfn h\u00e0nh \u0111o l\u01b0\u1eddng l\u1ea1i c\u00e1c ch\u1ec9 s\u1ed1 sau khi th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p.<\/p>\n

          Giai \u0111o\u1ea1n 5: <\/em>Control \u2013 Ki\u1ec3m so\u00e1t<\/em>:<\/em> Ti\u1ebfp t\u1ee5c th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t \u0111\u1ec3 duy tr\u00ec d\u1ef1 \u00e1n.<\/p>\n

            \n
          1. K\u1ebeT QU\u1ea2<\/strong><\/li>\n<\/ol>\n

            Qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n d\u1ef1 \u00e1n LEAN:<\/strong><\/p>\n

            Giai \u0111o\u1ea1n 1: X\u00e1c \u0111\u1ecbnh v\u1ea5n \u0111\u1ec1<\/em><\/strong>:<\/strong><\/p>\n\n\n

            \"\"<\/figure><\/div>\n\n\n

            Nh\u1eadn x\u00e9t: Ph\u00f2ng kh\u00e1m Tim m\u1ea1ch l\u00e0 1 trong nh\u1eefng ph\u00f2ng kh\u00e1m ti\u1ebfp \u0111\u00f3n ng\u01b0\u1eddi b\u1ec7nh (NB) ngo\u1ea1i tr\u00fa c\u1ee7a b\u1ec7nh vi\u1ec7n. Hi\u1ec7n nay trong ph\u00f2ng kh\u00e1m c\u00f3 2 b\u00e0n kh\u00e1m (1 b\u00e0n kh\u00e1m n\u1ed9i tim m\u1ea1ch, 1 b\u00e0n kh\u00e1m ngo\u1ea1i tim m\u1ea1ch). Theo s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea, trung b\u00ecnh m\u1ed7i ng\u00e0y ph\u00f2ng kh\u00e1m ti\u1ebfp \u0111\u00f3n v\u00e0 kh\u00e1m b\u1ec7nh cho kho\u1ea3ng 100-120 ng\u01b0\u1eddi b\u1ec7nh\/ng\u00e0y (Trong \u0111\u00f3 c\u00f3 c\u1ea3 kh\u00e1m m\u1edbi, t\u00e1i kh\u00e1m v\u00e0 chuy\u1ec3n kh\u00e1m ph\u1ed1i h\u1ee3p t\u1eeb c\u00e1c ph\u00f2ng kh\u00e1m kh\u00e1c c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 ch\u1ee7 y\u1ebfu l\u00e0 kh\u00e1m n\u1ed9i tim m\u1ea1ch). Qua bi\u1ec3u \u0111\u1ed3 1 ta th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh t\u1edbi kh\u00e1m t\u1ea1i ph\u00f2ng kh\u00e1m Tim m\u1ea1ch kho\u1ea3ng h\u01a1n 2000 ng\u01b0\u1eddi b\u1ec7nh\/ th\u00e1ng. T\u1ea1i ph\u00f2ng kh\u00e1m N\u1ed9i tim m\u1ea1ch b\u1ed1 tr\u00ed nh\u00e2n l\u1ef1c g\u1ed3m 2 b\u00e1c s\u1ef9 (BS) trong \u0111\u00f3 c\u00f3 1 BS kh\u00e1m N\u1ed9i tim m\u1ea1ch v\u00e0 2 \u0110i\u1ec1u d\u01b0\u1ee1ng (\u0110D) ph\u1ee5c v\u1ee5 ng\u01b0\u1eddi b\u1ec7nh n\u00ean kh\u00f4ng tr\u00e1nh kh\u1ecfi c\u00f3 nh\u1eefng th\u1eddi \u0111i\u1ec3m ph\u00f2ng kh\u00e1m b\u1ecb qu\u00e1 t\u1ea3i.<\/p>\n

            Giai \u0111o\u1ea1n 2: \u0110o l\u01b0\u1eddng:<\/em><\/strong><\/p>\n

            Ph\u00e2n t\u00edch d\u1eef li\u1ec7u v\u1ec1 th\u1eddi gian kh\u00e1m b\u1ec7nh c\u1ee7a 626 NB t\u1edbi kh\u00e1m t\u1ea1i ph\u00f2ng kh\u00e1m N\u1ed9i \u2013 Tim m\u1ea1ch trong th\u1eddi \u0111i\u1ec3m th\u00e1ng 10 n\u0103m 2022 cho th\u1ea5y:<\/p>\n

            \u00a0<\/em><\/strong>*Th\u1eddi gian ch\u1edd kh\u00e1m: <\/em><\/strong><\/p>\n\n\n

            \"\"<\/figure><\/div>\n\n\n

            Nh\u1eadn x\u00e9t: Th\u1eddi gian ch\u1edd kh\u00e1m trung b\u00ecnh c\u1ee7a ng\u01b0\u1eddi b\u1ec7n \u0111\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdi v\u00e0o kh\u00e1m l\u00e0 29,42 ph\u00fat \u00b127,86 ph\u00fat.<\/p>\n

            *Th\u1eddi gian th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 d\u1ecbch v\u1ee5 trong qu\u00e1 tr\u00ecnh kh\u00e1m b\u1ec7nh:<\/em><\/strong><\/p>\n\n\n

            \"\"<\/figure><\/div>\n\n\n

            Nh\u1eadn x\u00e9t: Theo b\u1ea3ng 1, th\u1eddi gian trung b\u00ecnh th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 x\u00e9t nghi\u1ec7m m\u00e1u t\u1eeb khi ra ch\u1ec9 \u0111\u1ecbnh \u0111\u1ebfn khi c\u00f3 k\u1ebft qu\u1ea3 l\u00e0 139,6 ph\u00fat; th\u1eddi gian trung b\u00ecnh th\u1ef1c hi\u1ec7n ch\u1ee5p XQuang (t\u1eeb khi ra ch\u1ec9 \u0111\u1ecbnh \u0111\u1ebfn khi c\u00f3 k\u1ebft qu\u1ea3) l\u00e0 217,7 ph\u00fat, th\u1eddi gian trung b\u00ecnh th\u1ef1c hi\u1ec7n ch\u1ee5p CT (t\u1eeb 64 \u2013 128 d\u00e3y) (t\u1eeb khi ra ch\u1ec9 \u0111\u1ecbnh \u0111\u1ebfn khi c\u00f3 k\u1ebft qu\u1ea3) \u00a0l\u00e0 201,5 ph\u00fat v\u00e0 th\u1eddi gian th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 si\u00eau \u00e2m tim (t\u1eeb khi ra ch\u1ec9 \u0111\u1ecbnh \u0111\u1ebfn khi c\u00f3 k\u1ebft qu\u1ea3) l\u00e0 100,3 ph\u00fat. \u0110\u1eb7c bi\u1ec7t th\u1eddi gian kh\u00e1m b\u1ec7nh c\u1ee7a c\u00e1c b\u00e1c s\u1ef9 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 trao \u0111\u1ed5i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh trung b\u00ecnh ch\u1ec9 \u0111\u01b0\u1ee3c 4,5\u00b10,7 ph\u00fat.<\/p>\n

            *Th\u1eddi gian th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh k\u00e8m theo c\u00e1c k\u1ef9 thu\u1eadt ph\u1ed1i h\u1ee3p c\u1ea3 x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0 th\u0103m d\u00f2 ch\u1ee9c n\u0103ng (x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n, ch\u1ee5p<\/em><\/strong> XQuang<\/em><\/strong> th\u01b0\u1eddng quy\/si\u00eau \u00e2m\/c\u1eaft l\u1edbp vi t\u00ednh\/c\u1ed9ng h\u01b0\u1edfng t\u1eeb\u2026):<\/em><\/strong><\/p>\n\n\n

            \"\"<\/figure><\/div>\n\n\n

            Nh\u1eadn x\u00e9t: Theo b\u1ea3ng 2, th\u1eddi gian ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh k\u00e8m theo 1 k\u1ef9 thu\u1eadt ph\u1ed1i h\u1ee3p c\u1ea3 x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0 th\u0103m d\u00f2 ch\u1ee9c n\u0103ng (x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n, ch\u1ee5p xquang th\u01b0\u1eddng quy\/si\u00eau \u00e2m\/c\u1eaft l\u1edbp vi t\u00ednh\/c\u1ed9ng h\u01b0\u1edfng t\u1eeb\u2026) l\u00e0 186,5 \u00b1106,8 ph\u00fat, th\u1eddi gian th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh k\u00e8m theo 2 k\u1ef9 thu\u1eadt ph\u1ed1i h\u1ee3p l\u00e0 189,6\u00b1110,2 ph\u00fat, th\u1eddi gian th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 kh\u00e1m b\u1ec7nh k\u00e8m theo 3 k\u1ef9 thu\u1eadt ph\u1ed1i h\u1ee3p c\u1ea3 x\u00e9t nghi\u1ec7m, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0 th\u0103m d\u00f2 ch\u1ee9c n\u0103ng l\u00e0 217,0\u00b1100,2 ph\u00fat.<\/p>\n

            Giai \u0111o\u1ea1n 3: Ph\u00e2n t\u00edch:<\/em><\/strong><\/p>\n\n\n

            \"\"<\/figure><\/div>\n\n\n

            S\u01a1 \u0111\u1ed3 1. S\u01a1 \u0111\u1ed3 hi\u1ec7n tr\u1ea1ng c\u1ee7a v\u1ea5n \u0111\u1ec1 c\u1ea7n c\u1ea3i ti\u1ebfn.<\/p>\n\n\n

            \"\"<\/figure><\/div>\n\n\n

            S\u01a1 \u0111\u1ed3 2. S\u01a1 \u0111\u1ed3 ph\u00e2n t\u00edch t\u1eeb khi ng\u01b0\u1eddi b\u1ec7nh v\u00e0o \u0111\u0103ng k\u00fd kh\u00e1m b\u1ec7nh cho \u0111\u1ebfn khi k\u1ebft th\u00fac quy tr\u00ecnh kh\u00e1m b\u1ec7nh.<\/p>\n

            Ghi ch\u00fa:\u00a0<\/em><\/p>\n\n\n

            \"\"<\/figure><\/div>\n\n\n

            Nh\u1eadn x\u00e9t: Theo s\u01a1 \u0111\u1ed3 2 ta th\u1ea5y quy tr\u00ecnh kh\u00e1m b\u1ec7nh c\u1ee7a b\u1ec7nh vi\u1ec7n hi\u1ec7n nay c\u00f2n r\u1ea5t nhi\u1ec1u kh\u00e2u (g\u1ed3m c\u1ea3 kh\u00e2u b\u1eaft bu\u1ed9c v\u00e0 kh\u00e2u kh\u00f4ng b\u1eaft bu\u1ed9c), trong \u0111\u00f3 c\u00f3 nhi\u1ec1u kh\u00e2u ph\u1ea3i ch\u1edd \u0111\u1ee3i, v\u00e0 nh\u1eefng kh\u00e2u ch\u1edd n\u00e0y kh\u00f4ng t\u1ea1o gi\u00e1 tr\u1ecb l\u00e0m k\u00e9o d\u00e0i th\u1eddi gian c\u1ee7a quy tr\u00ecnh kh\u00e1m b\u1ec7nh. T\u1eeb s\u01a1 \u0111\u1ed3 ta x\u00e1c \u0111\u1ecbnh nh\u1eefng kh\u00e2u g\u00e2y \u00f9n t\u1eafc \u0111\u1ec3 t\u00e1c \u0111\u1ed9ng v\u00e0 can thi\u1ec7p th\u1eadm ch\u00ed lo\u1ea1i b\u1ecf n\u1ebfu kh\u00f4ng c\u1ea7n thi\u1ebft \u0111\u1ec3 l\u00e0m gi\u1ea3m th\u1eddi gian th\u1ef1c hi\u1ec7n quy tr\u00ecnh kh\u00e1m b\u1ec7nh. M\u1eb7t kh\u00e1c, n\u00fat th\u1eaft l\u1edbn trong quy tr\u00ecnh n\u1eb1m \u1edf b\u01b0\u1edbc th\u1ef1c hi\u1ec7n c\u00e1c d\u1ecbch v\u1ee5 c\u1eadn l\u00e2m s\u00e0ng. Th\u00f4ng th\u01b0\u1eddng m\u1ed7i ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m th\u01b0\u1eddng th\u1ef1c hi\u1ec7n k\u00e8m theo 1-3 ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng. V\u00ec v\u1eady, th\u1eddi gian th\u1ef1c hi\u1ec7n c\u00e1c d\u1ecbch v\u1ee5 c\u1eadn l\u00e2m s\u00e0ng trong qu\u00e1 tr\u00ecnh kh\u00e1m b\u1ec7nh chi\u1ebfm t\u1ef7 tr\u1ecdng r\u1ea5t cao. Quy tr\u00ecnh kh\u00e1m b\u1ec7nh b\u1ecb ngh\u1ebdn t\u1ea1i b\u01b0\u1edbc n\u00e0y do b\u1ec7nh vi\u1ec7n ch\u01b0a c\u00f3 h\u1ec7 th\u1ed1ng ph\u00e2n lu\u1ed3ng th\u00f4ng minh h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh l\u1ef1a ch\u1ecdn nh\u1eefng \u0111\u1ecba \u0111i\u1ec3m th\u1ef1c hi\u1ec7n ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng nhanh nh\u1ea5t gi\u00fap t\u1ed1i \u01b0u h\u00f3a th\u1eddi gian ch\u1edd l\u00e0m ch\u1ec9 \u0111\u1ecbnh. M\u1eb7t kh\u00e1c ng\u01b0\u1eddi b\u1ec7nh v\u1eabn ph\u1ea3i ch\u1edd nh\u1eadn k\u1ebft qu\u1ea3 ch\u1ee5p chi\u1ebfu \u0111\u1ec3 quay l\u1ea1i ph\u00f2ng kh\u00e1m ban \u0111\u1ea7u d\u1eabn t\u1edbi l\u00e0m gi\u1ea3m s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

            Giai \u0111o\u1ea1n 4: Giai \u0111o\u1ea1n c\u1ea3i ti\u1ebfn:<\/em><\/strong><\/p>\n

            \u00a0Sau khi ph\u00e2n t\u00edch v\u1ea5n \u0111\u1ec1, ch\u00fang t\u00f4i \u0111\u00e3 ti\u1ebfn h\u00e0nh th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p c\u1ea3i ti\u1ebfn nhanh \u0111\u1ec3 r\u00fat b\u1edbt nh\u1eefng kh\u00e2u kh\u00f4ng c\u1ea7n thi\u1ebft trong quy tr\u00ecnh kh\u00e1m b\u1ec7nh, \u00e1p d\u1ee5ng c\u00e1c gi\u1ea3i ph\u00e1p \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c cung c\u1ea5p th\u00f4ng tin \u0111\u1ea7y \u0111\u1ee7, h\u1ea1n ch\u1ebf ph\u1ea3i di chuy\u1ec3n \u0111\u1ec3 t\u00ecm ki\u1ebfm c\u00e1c khu v\u1ef1c th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ec9 \u0111\u1ecbnh C\u1eadn l\u00e2m s\u00e0ng \u0111\u1ec3 ti\u1ebft ki\u1ec7m th\u1eddi gian nh\u01b0:<\/p>\n

              \n
            • B\u1ed1 tr\u00ed th\u00eam nh\u1eadn l\u1ef1c b\u1ea3o v\u1ec7, nh\u00e2n vi\u00ean c\u00f4ng t\u00e1c x\u00e3 h\u1ed9i ti\u1ebfp \u0111\u00f3n, cung c\u1ea5p th\u00f4ng tin cho NB ngay t\u1eeb s\u00e1ng s\u1edbm tr\u01b0\u1edbc gi\u1edd \u0111\u0103ng k\u00fd kh\u00e1m b\u1ec7nh<\/li>\n
            • B\u1ed5 sung th\u00eam h\u1ec7 th\u1ed1ng bi\u1ec3n b\u00e1o, b\u1ea3ng ch\u1ec9 d\u1eabn , k\u1ebb \u0111\u01b0\u1eddng line h\u1ed7 tr\u1ee3 ng\u01b0\u1eddi b\u1ec7nh<\/li>\n
            • \u0110\u01b0a ra c\u00e1c m\u1ee9c thu t\u1ea1m \u1ee9ng h\u1ee3p l\u00fd \u0111\u1ed1i v\u1edbi t\u1eebng nh\u00f3m b\u1ec7nh kh\u00e1c nhau<\/li>\n
            • S\u1eafp x\u1ebfp b\u1ed1 tr\u00ed l\u1ea1i khu v\u1ef1c ng\u1ed3i ch\u1edd g\u1ecdi kh\u00e1m t\u1ea1i tr\u01b0\u1edbc c\u1eeda ph\u00f2ng kh\u00e1m N\u1ed9i \u2013tim m\u1ea1ch. Ph\u00e2n lu\u1ed3ng c\u00e1c nh\u00f3m NB: kh\u00e1m m\u1edbi, kh\u00e1m l\u1ea1i, kh\u00e1m ph\u1ed1i h\u1ee3p, ch\u1edd k\u1ebft lu\u1eadn.<\/li>\n
            • Chu\u1ea9n ho\u00e1 quy tr\u00ecnh h\u01b0\u1edbng d\u1eabn- qu\u1ea3n l\u00fd- h\u1ed7 tr\u1ee3 NB. Cung c\u1ea5p th\u00f4ng tin th\u1ef1c t\u1ebf ch\u1edd t\u1ea1i ph\u00f2ng th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5…<\/li>\n<\/ul>\n

              Ti\u1ebfp t\u1ee5c ph\u00e2n t\u00edch c\u00e1c n\u00fat th\u1eaft, t\u00ecm ra c\u00e1c nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5 \u0111\u00e3 \u0111\u1ec1 ra v\u00e0 ti\u1ebfn h\u00e0nh th\u1ef1c hi\u1ec7n c\u00e1c gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn s\u00e2u l\u00e0m gi\u1ea3m th\u1eddi gian c\u1ee7a qu\u00e1 tr\u00ecnh kh\u00e1m b\u1ec7nh, c\u1ee5 th\u1ec3:<\/p>\n

                \n
              • B\u1ed5 sung \u0111\u1ea7u \u0111\u1ecdc QR t\u1ea1i m\u1ed7i b\u00e0n \u0111\u0103ng k\u00fd kh\u00e1m \u0111\u1ec3 \u0111\u1ecdc th\u1ebb c\u0103n c\u01b0\u1edbc c\u00f4ng d\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh khi \u0111\u1ebfn \u0111\u0103ng k\u00fd kh\u00e1m l\u00e0m gi\u1ea3m th\u1eddi gian nh\u1eadp th\u00f4ng tin c\u1ee7a NB t\u1ea1i b\u01b0\u1edbc n\u00e0y.<\/li>\n
              • Tri\u1ec3n khai th\u1ef1c hi\u1ec7n thanh to\u00e1n kh\u00f4ng d\u00f9ng ti\u1ec1n m\u1eb7t. \u1ee8ng d\u1ee5ng \u0111a d\u1ea1ng h\u00ecnh th\u1ee9c thanh to\u00e1n (on-off): Qu\u00e9t m\u00e3 QR, chuy\u1ec3n kho\u1ea3n, qu\u1eb9t th\u1ebb t\u00edn d\u1ee5ng\u2026l\u00e0m gi\u1ea3m th\u1eddi gian ch\u1edd \u0111\u00f3ng ti\u1ec1n.<\/li>\n
              • B\u1ed1 tr\u00ed l\u1ea1i d\u00f2ng ch\u1ea3y \u0111\u1ecdc k\u1ebft qu\u1ea3 phim ch\u1ee5p XQuang, MRI, CT\u2026<\/li>\n
              • Tr\u1ea3 phim ngay sau ch\u1ee5p v\u00e0 tr\u1ea3 k\u1ebft qu\u1ea3 k\u1ebft lu\u1eadn (PACS) qua HIS. Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea7n ch\u1edd \u0111\u1ee3i \u0111\u1ec3 l\u1ea5y k\u1ebft qu\u1ea3.<\/li>\n
              • Tr\u1ea3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m (XN) (LIS) qua HIS: Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u1ea7n quay l\u1ea1i ph\u00f2ng l\u1ea5y m\u1eabu \u0111\u1ec3 l\u1ea5y k\u1ebft qu\u1ea3.<\/li>\n
              • B\u1ed5 sung th\u00eam nh\u00e2n l\u1ef1c BS, \u0110i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5c v\u1ee5 ng\u01b0\u1eddi b\u1ec7nh v\u00e0o nh\u1eefng gi\u1edd cao \u0111i\u1ec3m t\u1eeb 7h30 \u2013 9h30: Th\u1eddi gian cao \u0111i\u1ec3m NB \u0111\u00e3 kh\u00f4ng c\u00f2n ph\u1ea3i ch\u1edd \u0111\u1ee3i l\u00e2u \u0111\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdi v\u00e0o kh\u00e1m b\u1ec7nh.<\/li>\n
              • T\u00e1ch khu v\u00e0 th\u00eam b\u00e0n kh\u00e1m (N\u1ed9i khoa, Ngo\u1ea1i khoa trong ph\u00f2ng kh\u00e1m): C\u00e1c d\u00f2ng NB \u0111\u01b0\u1ee3c ph\u00e2n lu\u1ed3ng theo nh\u00f3m: kh\u00e1m n\u1ed9i, kh\u00e1m ngo\u1ea1i, kh\u00e1m m\u1edbi, kh\u00e1m l\u1ea1i, kh\u00e1m ph\u1ed1i h\u1ee3p.<\/li>\n
              • Chu\u1ea9n ho\u00e1 quy tr\u00ecnh g\u1ecdi kh\u00e1m (\u0110D) – Quy tr\u00ecnh kh\u00e1m b\u1ec7nh (BS) \u0111\u1ec3 th\u1eddi gian kh\u00e1m b\u1ec7nh v\u00e0 t\u01b0 v\u1ea5n c\u1ee7a b\u00e1c s\u1ef9 t\u0103ng l\u00ean.<\/li>\n<\/ul>\n

                C\u00e1c k\u1ebft qu\u1ea3 sau c\u1ea3i ti\u1ebfn c\u1ee7a d\u1ef1 \u00e1n:<\/strong><\/p>\n\n\n

                \"\"<\/figure><\/div>\n\n\n

                Nh\u1eadn x\u00e9t: Th\u1eddi gian th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 kh\u00e2u trong quy tr\u00ecnh kh\u00e1m b\u1ec7nh \u0111\u00e3 gi\u1ea3m m\u1ed9t c\u00e1ch \u0111\u00e1ng k\u1ec3. \u0110\u1eb7c bi\u1ec7t l\u00e0 th\u1eddi gian th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 ch\u1ee5p XQuang gi\u1ea3m \u0111\u1ebfn 50 ph\u00fat so v\u1edbi tr\u01b0\u1edbc c\u1ea3i ti\u1ebfn, th\u1eddi gian th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 ch\u1ee5p CT 64-128 d\u00e3y gi\u1ea3m 43,3 ph\u00fat so v\u1edbi tr\u01b0\u1edbc khi c\u1ea3i ti\u1ebfn.<\/p>\n\n\n

                \"\"<\/figure><\/div>\n\n\n

                Nh\u1eadn x\u00e9t: Th\u1eddi gian th\u1ef1c hi\u1ec7n quy tr\u00ecnh kh\u00e1m b\u1ec7nh \u1edf nh\u1eefng nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh kh\u00e1m l\u00e2m s\u00e0ng c\u00f3 l\u00e0m th\u00eam c\u00e1c k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m\/Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, th\u0103m d\u00f2 ch\u1ee9c n\u0103ng \u0111\u1ec1u \u0111\u00e3 gi\u1ea3m xu\u1ed1ng t\u1eeb 13,6 ph\u00fat \u0111\u1ebfn 17 ph\u00fat.<\/p>\n\n\n

                \"\"<\/figure><\/div>\n\n\n

                Nh\u1eadn x\u00e9t: S\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1edbi quy tr\u00ecnh kh\u00e1m b\u1ec7nh \u0111\u00e3 t\u0103ng l\u00ean t\u1eeb 93% tr\u01b0\u1edbc khi can thi\u1ec7p l\u00ean 97,4% sau khi th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p c\u1ea3i ti\u1ebfn. \u0110\u1eb7c bi\u1ec7t l\u00e0 \u0111\u00e1nh gi\u00e1 chung b\u1ec7nh vi\u1ec7n \u0111\u00e1p \u1ee9ng s\u1ef1 mong \u0111\u1ee3i c\u1ee7a NB tr\u01b0\u1edbc khi t\u1edbi kh\u00e1m t\u0103ng t\u1eeb\u00a0 92% tr\u01b0\u1edbc khi can thi\u1ec7p l\u00ean 96%.<\/p>\n

                Giai \u0111o\u1ea1n 5: ki\u1ec3m so\u00e1t<\/em><\/strong><\/p>\n

                B\u1ec7nh vi\u1ec7n x\u00e2y d\u1ef1ng ch\u1ec9 s\u1ed1 hi\u1ec7u qu\u1ea3 ho\u1ea1t \u0111\u1ed9ng \u0111\u1ec3 ti\u1ebfp \u0111o l\u01b0\u1eddng theo d\u00f5i: Th\u1eddi gian \u0111\u0103ng k\u00fd kh\u00e1m b\u1ec7nh, th\u1eddi gian ch\u1edd kh\u00e1m, th\u1eddi gian b\u00e1c s\u1ef9 th\u1ef1c hi\u1ec7n kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n, th\u1eddi gian th\u1ef1c hi\u1ec7n d\u1ecbch v\u1ee5 ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng, th\u1eddi gian th\u1ef1c hi\u1ec7n quy tr\u00ecnh kh\u00e1m b\u1ec7nh, s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh kh\u00e1m ngo\u1ea1i tr\u00fa.<\/p>\n

                Ti\u1ebfn h\u00e0nh \u0111o l\u01b0\u1eddng v\u00e0 theo d\u00f5i li\u00ean t\u1ee5c qua c\u00e1c th\u00e1ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 xu h\u01b0\u1edbng c\u1ee7a c\u00e1c ch\u1ec9 s\u1ed1 \u0111\u1ec3 t\u00ecm hi\u1ec3u nguy\u00ean nh\u00e2n v\u00e0 ti\u1ebfp t\u1ee5c theo d\u00f5i v\u00e0 ki\u1ec3m tra vi\u1ec7c tu\u00e2n th\u1ee7 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p c\u1ea3i ti\u1ebfn \u0111\u00e3 \u0111\u1eb7t ra \u0111\u1ec3 gi\u00fap duy tr\u00ec k\u1ebft qu\u1ea3 c\u1ea3i ti\u1ebfn.<\/p>\n

                  \n
                1. B\u00c0N LU\u1eacN<\/strong><\/li>\n<\/ol>\n

                  Sau c\u1ea3i ti\u1ebfn th\u1eddi gian th\u1ef1c hi\u1ec7n t\u1ea1i nhi\u1ec1u kh\u00e2u c\u1ee7a quy tr\u00ecnh kh\u00e1m b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c r\u00fat ng\u1eafn m\u1ed9t c\u00e1ch \u0111\u00e1ng k\u1ec3. Th\u1eddi gian th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ec9 \u0111\u1ecbnh gi\u1ea3m r\u00f5 r\u1ec7t t\u1ea1i 2 kh\u00e2u th\u1ef1c hi\u1ec7n ch\u1ec9 \u0111\u1ecbnh XQuang gi\u1ea3m 50 ph\u00fat (23%) v\u00e0 th\u1ef1c hi\u1ec7n ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p CT 64-128 d\u00e3y gi\u1ea3m 43,3 (22%) theo b\u1ea3ng 3 g\u00f3p ph\u1ea7n n\u00e2ng cao s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh t\u1eeb 93% l\u00ean 97,4% (bi\u1ec3u \u0111\u1ed3 3). Th\u1eddi gian th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ec9 \u0111\u1ecbnh gi\u1ea3m r\u00f5 r\u1ec7t l\u00e0 do b\u1ec7nh vi\u1ec7n \u0111\u00e3 c\u1ea3i ti\u1ebfn quy tr\u00ecnh \u0111\u1ecdc v\u00e0 tr\u1ea3 k\u1ebft qu\u1ea3 phim t\u1edbi ng\u01b0\u1eddi b\u1ec7nh. Tr\u01b0\u1edbc \u0111\u00e2y c\u00e1c ph\u00f2ng ch\u1ee5p th\u1ef1c hi\u1ec7n ch\u1ee5p XQuang sau kho\u1ea3ng 3-5 NB s\u1ebd g\u1eedi phim sang ph\u00f2ng BS \u0111\u1ec3 \u0111\u1ecdc k\u1ebft qu\u1ea3, sau khi \u0111\u1ecdc phim s\u1ebd g\u1ed9p nh\u00f3m \u0111\u1ec3 tr\u1ea3 phim k\u00e8m k\u1ebft qu\u1ea3 \u0111\u1ecdc cho NB d\u1eabn t\u1edbi nh\u1eefng NB ch\u1ee5p tr\u01b0\u1edbc v\u1eabn ph\u1ea3i \u0111\u1ee3i. Khi can thi\u1ec7p d\u1ef1 \u00e1n d\u00f2ng ch\u1ea3y phim ch\u1ee5p \u0111\u01b0\u1ee3c b\u00e1c s\u1ef9 \u0111\u1ecdc li\u00ean t\u1ee5c v\u00e0 g\u1eedi tr\u1ea3 l\u1ea1i ngay k\u1ebft qu\u1ea3 t\u1edbi ng\u01b0\u1eddi b\u1ec7nh. Ngo\u00e0i ra, b\u1ec7nh vi\u1ec7n \u0111\u00e3 tri\u1ec3n khai th\u00e0nh c\u00f4ng vi\u1ec7c tr\u1ea3 k\u1ebft qu\u1ea3 qua h\u1ec7 th\u1ed1ng PACS, h\u00ecnh \u1ea3nh phim \u0111\u01b0\u1ee3c m\u00e3 h\u00f3a qua QR code, ng\u01b0\u1eddi b\u1ec7nh sau khi ch\u1ee5p Xquang v\u00e0 CT 64-128 d\u00e3y kh\u00f4ng c\u1ea7n ph\u1ea3i ch\u1edd \u0111\u1ee3i k\u1ebft qu\u1ea3 m\u00e0 s\u1ebd \u0111i l\u00e0m c\u00e1c d\u1ecbch v\u1ee5 kh\u00e1c, sau khi quay l\u1ea1i ph\u00f2ng kh\u00e1m ban \u0111\u1ea7u s\u1ebd \u0111\u01b0\u1ee3c nh\u1eadn l\u1ea1i k\u1ebft qu\u1ea3.<\/p>\n

                  Vi\u1ec7c \u00e1p d\u1ee5ng LEAN v\u00e0o quy tr\u00ecnh cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe l\u00e0 vi\u1ec7c \u00e1p d\u1ee5ng nh\u1eefng gi\u1ea3i ph\u00e1p t\u1ed5ng th\u1ec3 \u0111\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3. Th\u1ef1c hi\u1ec7n tinh g\u1ecdn trong m\u1ed9t t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00f4ng qua c\u1ea3i ti\u1ebfn li\u00ean t\u1ee5c, \u0111i\u1ec1u n\u00e0y s\u1ebd gi\u00fap c\u00e1c c\u01a1 quan y t\u1ebf n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a h\u1ecd [8]. Th\u1ef1c hi\u1ec7n tinh g\u1ecdn trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho ph\u00e9p c\u00e1c t\u1ed5 ch\u1ee9c y t\u1ebf c\u1ea3i thi\u1ec7n hi\u1ec7u qu\u1ea3 d\u00f2ng ch\u1ea3y, gi\u1ea3m chi ph\u00ed v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng [9-11]. T\u1ea1i b\u1ec7nh vi\u1ec7n Maharaj Nakorn Chiang Mai \u0111\u00e3 s\u1eed d\u1ee5ng kh\u00e1i ni\u1ec7m Tinh g\u1ecdn \u0111\u1ec3 c\u1ea3i thi\u1ec7n quy tr\u00ecnh kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ee7a Ph\u00f2ng kh\u00e1m Tim m\u1ea1ch, k\u1ebft qu\u1ea3 cho th\u1ea5y: T\u1ed5ng c\u1ed9ng c\u00f3 4 quy tr\u00ecnh d\u1ecbch v\u1ee5 ch\u00ednh v\u00e0 19 ho\u1ea1t \u0111\u1ed9ng ri\u00eang l\u1ebb \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n th\u00f4ng qua Kh\u00e1i ni\u1ec7m Tinh g\u1ecdn (LEAN), v\u1edbi s\u1ed1 l\u01b0\u1ee3ng c\u00e1c ho\u1ea1t \u0111\u1ed9ng ri\u00eang l\u1ebb gi\u1ea3m so v\u1edbi giai \u0111o\u1ea1n tr\u01b0\u1edbc khi \u00e1p d\u1ee5ng xu\u1ed1ng c\u00f2n 3 quy tr\u00ecnh.\u00a0Th\u1eddi gian kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ee7a quy tr\u00ecnh d\u1ecbch v\u1ee5 c\u1ea3i ti\u1ebfn l\u00e0 93,59 ph\u00fat, nhanh h\u01a1n 36,07 ph\u00fat so v\u1edbi th\u1eddi gian tr\u01b0\u1edbc khi \u00e1p d\u1ee5ng.<\/p>\n

                  Th\u1eddi gian th\u1ef1c hi\u1ec7n quy tr\u00ecnh kh\u00e1m b\u1ec7nh tr\u00ean c\u00e1c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng c\u0169ng gi\u1ea3m t\u1eeb 13 \u2013 17 ph\u00fat\/1 ng\u01b0\u1eddi b\u1ec7nh (theo b\u1ea3ng 4), tuy nhi\u00ean so v\u1edbi th\u1eddi gian \u0111\u00e3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 khi th\u1ef1c hi\u1ec7n t\u1eebng kh\u00e2u c\u1ee7a quy tr\u00ecnh kh\u00e1m b\u1ec7nh th\u00ec th\u1eddi gian th\u1ef1c hi\u1ec7n to\u00e0n b\u1ed9 quy tr\u00ecnh kh\u00e1m b\u1ec7nh ch\u01b0a gi\u1ea3m \u0111\u01b0\u1ee3c nhi\u1ec1u t\u01b0\u01a1ng x\u1ee9ng nh\u01b0 k\u1ef3 v\u1ecdng c\u1ee7a nh\u00f3m nghi\u00ean c\u1ee9u. Nguy\u00ean nh\u00e2n l\u00e0 do b\u1ec7nh vi\u1ec7n \u00e1p d\u1ee5ng h\u1ec7 th\u1ed1ng ph\u00e2n lu\u1ed3ng th\u00f4ng minh h\u1ed7 tr\u1ee3 ng\u01b0\u1eddi b\u1ec7nh l\u1ef1a ch\u1ecdn c\u00e1c \u0111\u1ecba \u0111i\u1ec3m th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng m\u1ed9t c\u00e1ch t\u1ed1i \u01b0u h\u00f3a th\u1eddi gian. N\u00fat th\u1eaft t\u1ea1i b\u01b0\u1edbc th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ec9 \u0111\u1ecbnh CLS t\u1ea1i s\u01a1 \u0111\u1ed3 2 ch\u01b0a \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft ho\u00e0n to\u00e0n. Hi\u1ec7n ch\u1ec9 c\u1eaft gi\u1ea3m \u0111\u01b0\u1ee3c th\u1eddi gian ch\u1edd \u0111\u1ee3i l\u1ea5y k\u1ebft qu\u1ea3. \u0110\u00e2y s\u1ebd l\u00e0 ti\u1ec1n \u0111\u1ec1 \u0111\u1ec3 b\u1ec7nh vi\u1ec7n s\u1edbm ti\u1ebfp t\u1ee5c tri\u1ec3n khai giai \u0111o\u1ea1n 2 c\u1ee7a d\u1ef1 \u00e1n. B\u1ec7nh vi\u1ec7n c\u1ea7n ti\u1ebfp t\u1ee5c \u00e1p d\u1ee5ng c\u00e1c gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn s\u00e2u \u0111\u1ec3 l\u00e0m gi\u1ea3m th\u1eddi gian kh\u00e1m b\u1ec7nh cho ng\u01b0\u1eddi b\u1ec7nh m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 v\u00e0 b\u1ec1n v\u1eefng \u0111\u1eb7c bi\u1ec7t \u1ee9ng d\u1ee5ng gi\u1ea3i ph\u00e1p CNTT trong qu\u00e1 tr\u00ecnh ph\u00e2n lu\u1ed3ng c\u1ee7a quy tr\u00ecnh kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u1ec3 l\u00e0m gi\u1ea3m th\u1eddi gian ch\u1edd kh\u00e1m cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

                    \n
                  1. K\u1ebeT LU\u1eacN V\u00c0 KI\u1ebeN NGH\u1eca<\/strong><\/li>\n<\/ol>\n

                    B\u01b0\u1edbc \u0111\u1ea7u tri\u1ec3n khai \u00e1p d\u1ee5ng d\u1ef1 \u00e1n qu\u1ea3n tr\u1ecb tinh g\u1ecdn LEAN v\u00e0o quy tr\u00ecnh kh\u00e1m b\u1ec7nh ngo\u1ea1i tr\u00fa, b\u1ec7nh vi\u1ec7n \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 k\u1ebft qu\u1ea3 \u0111\u00f3 l\u00e0 l\u00e0m gi\u1ea3m th\u1eddi gian ch\u1edd kh\u00e1m, gi\u1ea3m th\u1eddi gian th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 kh\u00e2u trong qu\u00e1 tr\u00ecnh kh\u00e1m b\u1ec7nh v\u00e0 gi\u1ea3m th\u1eddi gian th\u1ef1c hi\u1ec7n quy tr\u00ecnh kh\u00e1m b\u1ec7nh t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng s\u1ef1 h\u00e0i l\u00f2ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

                    Trong th\u1eddi gian ti\u1ebfp theo b\u1ec7nh vi\u1ec7n c\u1ea7n ti\u1ebfp t\u1ee5c theo d\u00f5i c\u00e1c ch\u1ec9 s\u1ed1 \u0111o l\u01b0\u1eddng, nghi\u00ean c\u1ee9u v\u00e0 ti\u1ebfp t\u1ee5c \u00e1p d\u1ee5ng c\u00e1c gi\u1ea3i ph\u00e1p c\u1ea3i ti\u1ebfn s\u00e2u \u0111\u1ec3 l\u00e0m gi\u1ea3m th\u1eddi gian kh\u00e1m b\u1ec7nh cho ng\u01b0\u1eddi b\u1ec7nh m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 v\u00e0 b\u1ec1n v\u1eefng.<\/p>\n

                    Nghi\u00ean c\u1ee9u nh\u00e2n r\u1ed9ng \u1ee9ng d\u1ee5ng qu\u1ea3n tr\u1ecb tinh g\u1ecdn LEAN v\u00e0 c\u00e1c c\u00f4ng c\u1ee5 h\u1ed7 tr\u1ee3 c\u1ee7a t\u01b0 duy tinh g\u1ecdn v\u00e0o c\u00e1c l\u0129nh v\u1ef1c kh\u00e1c c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u1ec3 c\u1ea3i ti\u1ebfn quy tr\u00ecnh ph\u1ee5c v\u1ee5 ng\u01b0\u1eddi b\u1ec7nh c\u0169ng nh\u01b0 \u0111\u1ea9y m\u1ea1nh nh\u1eefng gi\u00e1 tr\u1ecb c\u1ed1t l\u00f5i trong vi\u1ec7c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh t\u1eeb \u0111\u00f3 hi\u1ec7u qu\u1ea3 ho\u1ea1t \u0111\u1ed9ng s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t, n\u00e2ng cao hi\u1ec7u su\u1ea5t, c\u1eaft gi\u1ea3m chi ph\u00ed ho\u1ea1t \u0111\u1ed9ng, tr\u00e1nh \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng l\u00e3ng ph\u00ed v\u00e0 n\u00e2ng cao hi\u1ec7u su\u1ea5t b\u1ec7nh vi\u1ec7n.<\/p>\n

                    T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/strong><\/p>\n

                      \n
                    1. Nguy\u1ec5n \u0110\u0103ng Minh, \u0110\u1ed7 Th\u1ecb C\u00fac, T\u1ea1 Th\u1ecb H\u01b0\u01a1ng Giang, Ho\u00e0ng Th\u1ecb Thu H\u00e0 (2013). \u00c1p d\u1ee5ng 5S t\u1ea1i c\u00e1c doanh nghi\u1ec7p s\u1ea3n xu\u1ea5t nh\u1ecf v\u00e0 v\u1eeba \u1edf Vi\u1ec7t Nam \u2013 Th\u1ef1c tr\u1ea1ng v\u00e0 khuy\u1ebfn ngh\u1ecb. Chuy\u00ean san Kinh t\u1ebf v\u00e0 Kinh doanh, T\u1ea1p ch\u00ed Khoa h\u1ecdc \u0110\u1ea1i h\u1ecdc Qu\u1ed1c gia H\u00e0 N\u1ed9i, 29 (1), 23-31.<\/li>\n
                    2. Radnor, Z., Holweg, M., Waring, J.: Lean in healthcare: the unfilled promise? Soc. Sci. Med. 74, 364\u2013371 (2012<\/li>\n
                    3. Daultani, Y., Chaudhuri, A., Kumar, S.: A decade of lean in healthcare: current state and future Glob. Bus Rev. 16, 1082\u20131099 (2015). https:\/\/doi.org\/10.1177\/0972150915604520<\/a><\/li>\n
                    4. Fillingham, D.: Can lean save lives? Leadersh. Heal Serv. 20, 231\u2013241 (2007)<\/li>\n
                    5. Radnor, Z., Boaden, R.: Editorial: lean in public services\u2014panacea or paradox? Public Money Manag 28, 3\u20137 (2008)<\/li>\n
                    6. Silvester, K., Lendon, R., Bevan, H.R.S., Walley, P.: Reducing Waiting Times in the NHS: is Lack of Capacity the Problem? Clin Manag 12, 105\u2013111 (2004<\/li>\n
                    7. Institute for Healthcare Improvement. (2005). Going lean in health care. White Paper. Boston, MA: Institute for Healthcare Improvement, January and February 2005<\/li>\n
                    8. Grout, J.R., Toussaint, J.S.: Mistake-proofing Start\u2019, healthcare: why stopping processes may be a good start. Bus. Horiz. 53, 149\u2013156 (2009)<\/li>\n
                    9. de Souza, L.B.: Trends and approaches in lean healthcare. Leadersh. Heal Serv. 22, 121\u2013139 (2009). https:\/\/doi.org\/10.1108\/17511870910953788<\/a><\/li>\n
                    10. Jimmerson, C., Weber, D., Sobek II, D.K.: Reducing waste and errors: piloting lean principles at intermountain healthcare. J. Qual. Patient Saf. 31, 249\u2013267 (2005)<\/li>\n
                    11. Jimmerson, C., Weber, D., Sobek II, D.K.: Reducing waste and errors: piloting lean principles at intermountain healthcare. Jt. Comm. J. Qual. Patient Saf. 31, 249\u2013257 (2005)<\/li>\n<\/ol>\n

                      Nh\u00f3m t\u00e1c gi\u1ea3: Ng\u00f4 Th\u1ecb Huy\u1ec1n, Nguy\u1ec5n Xu\u00e2n Vinh, Tr\u1ea7n B\u00ecnh Giang, L\u00ea Th\u1ecb Kim Nhung, <\/em>\u0110inh H\u1ed3ng Th\u00e1i, Tr\u1ea7n \u0110\u0103ng Thanh – <\/em>B\u1ec7nh vi\u1ec7n H\u1eefu ngh\u1ecb Vi\u1ec7t \u0110\u1ee9c<\/em><\/p>","protected":false},"excerpt":{"rendered":"

                      \u0110\u1eb7t v\u1ea5n \u0111\u1ec1 Qu\u1ea3n tr\u1ecb tinh g\u1ecdn l\u00e0 t\u01b0 duy qu\u1ea3n tr\u1ecb t\u1ea1o ra gi\u00e1 tr\u1ecb gia t\u0103ng cho doanh nghi\u1ec7p, t\u1ed5 ch\u1ee9c b\u1eb1ng c\u00e1ch d\u00f9ng tr\u00ed tu\u1ec7 c\u1ee7a con ng\u01b0\u1eddi nh\u1eb1m c\u1eaft gi\u1ea3m t\u1ed1i \u0111a l\u00e3ng ph\u00ed [1]. L\u0129nh v\u1ef1c qu\u1ea3n l\u00fd ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111ang tr\u1edf th\u00e0nh m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,73,11,989,59],"tags":[],"acf":{"linh-vuc":"\u0110o l\u01b0\u1eddng"},"_links":{"self":[{"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/posts\/80558"}],"collection":[{"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/comments?post=80558"}],"version-history":[{"count":8,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/posts\/80558\/revisions"}],"predecessor-version":[{"id"592,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/posts\/80558\/revisions\/80592"}],"wp:attachment":[{"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/media?parent=80558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/categories?post=80558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcvn.gov.vn\/wp-json\/wp\/v2\/tags?post=80558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}