住院处置分类用于创建医院激增容量:一个多阶段研究
Gabor D Kelen1, Chadd K Kraus, Melissa L McCarthy
1Department of Emergency Medicine, Johns Hopkins University, Baltimore, MD 21287, USA. gkelen@jhmi.edu
Lancet (London, England)
|December 5, 2006
概括
一个新的五类系统将住院患者分类为在医院急剧期间安全提前出院的患者. 这种反向分类方法有助于管理增加的患者数量,通过识别出院的低风险个体.
科学领域:
- 卫生系统管理管理卫生系统管理
- 灾难的准备 灾难的准备
- 患者的情绪 患者的情绪
背景情况:
- 在紧急情况下,医疗保健系统面临着管理患者数量的挑战.
- 住院患者的安全提前出院 (反向分组) 可以增加医院的急剧增长能力.
- 需要一个系统来根据风险对出院的患者进行分类.
研究的目的:
- 开发一个处置分类系统,根据其适合早出院的情况对住院患者进行分类.
- 评估早期出院后对不良事件的风险耐受性.
主要方法:
- 进行了一次战争分析实验室演习.
- 使用了基于证据的技术和涉及39名专家小组成员的共识过程.
- 专家组成员定义了类别,分配了风险容忍度,确定了关键干预措施,并对排放风险进行了排名.
主要成果:
- 一致同意了分为五类的处置分类系统.
- 对不良事件的风险容忍度从最低风险组的<4%到最高风险组的100%不等.
- 确定了28项关键干预措施,如果保留,不良事件的可能性会有所不同.
结论:
- 开发的系统在概念上对患者进行安全处置分类,包括在需求激增期间提前出院.
- 在这个系统中,仍然需要实时对患者进行分类的临床标准.
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