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紧急程序区对紧急护理的影响
I-Chen Lin1, Po-Wei Chiu1, Chih-Hao Lin1
1Department of Emergency Medicine, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Tainan 70403, Taiwan.
Medicina (Kaunas, Lithuania)
|May 27, 2023
概括
在急诊室 (ED) 实施紧急程序区 (EPZ) 显著提高了程序效率,改善了患者流动. 该EPZ增强了诊断,缩短了患者逗留时间 (LOS-ED),并改善了隐私和教学.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 医院运营 医院运营
背景情况:
- 紧急部门 (ED) 的过度拥挤影响了患者护理质量.
- 有效的空间管理对于患者流动和临床实践至关重要.
- 一个新的紧急程序区 (EPZ) 旨在优化ED操作.
研究的目的:
- 评估EPZ对程序实践的影响.
- 评估EPZ对患者流动动态和停留时间 (LOS-ED) 的影响.
主要方法:
- 在一所高等教学医院的ED中进行了一项比较研究.
- 在EPZ前 (2019年3月至2020年8月) 和后 (2020年11月至2022年4月) 收集的数据.
- 统计分析包括奇平方和曼-惠特尼U测试 (p <0.05显著性).
主要成果:
- 在EPZ后,诸如中央静脉导管插入和胸管安置等手术的显著增加 (p < 0.001).
- 在EPZ后的ED中,超声波研究的使用率更高.
- 在EPZ后直接出院的患者在急诊室停留的时间更短 (LOS-ED) (p < 0.001).
结论:
- 建立一个EPZ对ED的程序效率产生了积极的影响.
- 该EPZ提高了诊断和处置效率,减少了患者的LOS-ED.
- 益处包括改善患者隐私,管理和医疗教育机会.
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