医疗通信中心的临床角色:快速范围审查
Jennifer A Greene1, Judah Goldstein1, Jeffrey Stirling1
1Emergency Medicine, Dalhousie University, Halifax, CAN.
紧急医疗服务 (EMS) 正在将临床医生整合到医疗通信中心 (MCC) 中,以管理增加的呼叫量. 护士,护理人员和医生提供分拣,咨询和转诊,优化对患者需求的资源配置.
科学领域:
- 紧急医疗服务 紧急医疗服务
- 医疗保健管理的管理
- 临床信息学 临床信息学
背景情况:
- 随着911呼叫数量的增加,紧急医疗服务 (EMS) 的能力受到压力.
- 在紧急医疗通信中心 (MCC) 中整合临床角色是一种优化资源配置的策略.
- 了解这些综合临床角色的范围和性质对于有效实施至关重要.
研究的目的:
- 进行快速范围审查,探索紧急MCC中的临床角色的性质和范围.
- 确定在MCC环境中雇佣的临床医生类型及其主要职能.
- 综合现有的关于将临床专业知识纳入紧急医疗调度的文献.
主要方法:
- 使用PubMed和其他来源的快速范围审查方法.
- 包括多样化的研究设计 (评论,实验,观察,专家意见).
- 重复数据提取和验证,使用医院前基于证据的实践 (PEP) 尺度进行证据水平评估.
主要成果:
- 包括2002年至2022年间发表的来自17个国家的31项研究.
- 护士是最常见的临床医生 (83%),其次是护理人员 (34%) 和医生 (14%).
- 关键角色包括分拣 (71%),咨询 (57%) 和转介非紧急护理 (40%).
结论:
- 广泛的文献支持在MCC中整合临床角色.
- MCC的临床医生 (护士,护理人员,医生) 在分拣,咨询和转诊方面做出了重大贡献.
- 这些综合的角色有助于将资源与患者需求相匹配,可能减少不必要的救护车调度.
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