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Sofie-An Van Biesen1, Katleen Devue2, Sven Van Laere3
1Department of Emergency Medicine, University Hospital Brussels, Jette, Belgium.
比利时的移动医疗队 (MMT) 在医院前干预方面经常过度合格,导致急诊室 (ED) 资源的使用效率低下. 这项研究发现,在超过85%的案件中,MMT的资格过高,这表明通过减少此类干预来改善ED人员.
科学领域:
- 紧急医疗 紧急医疗
- 在医院前的护理.
- 医疗保健资源管理 医疗保健资源管理
背景情况:
- 比利时的急救部门 (ED) 工作人员经常通过移动医疗队 (MMT) 或护理人员干预队 (PIT) 参与ED患者护理和医院前干预.
- 人们担心MMT对于某些医院前呼叫过度资格,而他们的缺席会影响ED人员数量.
研究的目的:
- 在比利时两个地区调查MMT在医院前干预方面的认知和实际资格.
- 为了比较两层 (2T) 和三层 (3T) 紧急医疗服务 (EMS) 区域之间的发现.
主要方法:
- 医生和护士在MMT干预前后填写注册表.
- 形式收集了关于MMT组成,感知需要,干预后的主观欣赏和进行的治疗干预的数据.
- 分析了2T和3T地区的数据,以评估干预的适当性.
主要成果:
- 在37.7%的病例中,MMT在干预前被认为是不必要的,干预后增加到65.7%.
- 根据治疗干预,MMT在85.6%的病例中过度合格.
- 干预后,87.6%的医生和护士证实MMT过度合格.
结论:
- 在比利时,绝大多数的MMT干预都涉及过度熟练的人员.
- 在离开ED之前,医疗保健专业人员通常可以预测MMT过度资格.
- 减少过度合格的MMT的干预,为提高ED人力资源效率提供了机会.
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