流量测量 关键护理资源 关键护理资源
Joseph L Nates1, John M Oropello2, Neeraj Badjatia3
1The University of Texas MD Anderson Cancer Center, Houston, TX.
Critical care medicine
|July 24, 2023
概括
学术中心的重症监护机构 (CCOs) 使用"流量大小"来管理在正常,紧张和冲击条件下的资源. 这种方法优化了重症监护能力和为未来的健康危机做好准备.
科学领域:
- 医疗保健管理的管理
- 临界护理医学 临界护理医学
- 资源分配 资源分配
背景情况:
- 关键护理能力是医疗保健系统面临的重大挑战,特别是在公共卫生紧急情况下.
- 了解重症监护机构 (CCOs) 在不同需求下如何管理资源,对于有效的医疗保健服务至关重要.
研究的目的:
- 描述影响重症监护能力的因素.
- 概述美国学术中心CCO如何在正常,应变和突发条件下"流量大小"关键护理资源.
主要方法:
- 出版社PubMed的文献评论,联邦机构的报告和美国医院协会的数据.
- 分析之前的CCO调查结果和对重症监护能力和利用情况的精选研究.
- 通过电话会议,建立关键护理医学工作组的学术领导者之间的共识.
主要成果:
- 关键护理"流量大小"涉及垂直 (内部资源) 和水平 (部门间) 整合.
- 详细介绍了在正常,应变和激增条件下管理重症监护资源的方法.
- 通过CCO确定了通过CCO扩大重症监护行动的优势,障碍和建议.
结论:
- 该CCO治理模式促进了急症监护服务的快速和成本效益的"流量大小".
- 为了为未来的流行病做好准备,全面的"流量大小"策略至关重要,正如COVID-19流行病所强调的那样.
- 为了应对潜在的未来危机,需要紧急规划足够的重症监护能力.
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