护理启动模型对紧急部门命令和操作指标的影响:队列研究
Andy Hung-Yi Lee1, Rebecca E Cash2,1, Alice Bukhman3
1Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts, USA.
The western journal of emergency medicine
|August 1, 2023
概括
护理启动减少了主要ED治疗时间15%,但增加了等待时间. 这种急诊室 (ED) 策略提供了运营效益,尽管患者的行程较长.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健 运营 研究 研究 研究
背景情况:
- 紧急部门 (ED) 面临着拥挤和长时间等待的挑战.
- 护理启动模式旨在通过在专用空间之前开始患者护理来缓解这些问题.
研究的目的:
- 量化护理启动模型对ED资源利用和运营指标的影响.
- 评估有限的护理启动策略的有效性.
主要方法:
- 对2,407次ED访问的回顾性分析.
- 基线特征的比较使用千平方和量子力回归.
- 倾向性评分分析 (匹配和反向概率加权) 评估护理启动对实验室测试,等待室时间,治疗室时间和处置时间的影响.
主要成果:
- 治疗开始与主要ED治疗区域时间 (0.6小时) 减少15%有关.
- 它还导致等待室时间增加 (1.8小时) 和更长的处置时间 (1.3小时).
- 没有观察到订购的诊断实验室测试的显著增加.
结论:
- 一个有限的护理启动模式提供了运营效益,包括减少主要ED治疗时间.
- 该策略增加了等待室时间和整体处置时间.
- 这项研究证实,即使是有限的护理启动也可以为ED带来积极的操作结果.
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