过量选和不足选以及相关因素的发生率:采用二次数据分析的横截面研究
Sookyung Jung1,2, Yeojin Yi1
1College of Nursing, Hanyang University, Seoul, Republic of Korea.
在2016-2020年期间,急诊部分拣准确度下降,过量分拣和不足分拣增加. 进行大多数分组的护士应该了解错误分组的因素,以改善患者的护理和资源分配.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 准确的急诊室 (ED) 选对于患者的识别和资源分配至关重要.
- 分选准确度的趋势和相关的错误分选因素需要进一步调查.
研究的目的:
- 为了确定过量选和不足选的发生率.
- 识别与错误结婚相关的人口,疾病相关和分拣特异性风险因素.
主要方法:
- 一项采用国家紧急情况部门信息系统 (2016-2020) 的数据进行的横截面研究.
- 韩国15岁及以上患者对20641411次紧急诊所的分析.
- 多变量后勤回归模型用于识别与过量选和不足选相关的因素.
主要成果:
- 位准确度从2016年的96.8%下降到2020年的95.7%.
- 过量选率从0.5%增加到0.7%,不足选率从2.4%增加到3.3%.
- 护士进行了超过85%的选评估. 与过量选相关的因素包括特定的人口统计数据,已知的疾病和区域紧急医疗中心. 选不足与正常的生命体征有关.
结论:
- 尽管度水平保持在建议范围之内,但整体分选精度下降,分选错误病例增加.
- 护士在分拣准确性方面发挥着关键作用,需要意识到与错误结婚相关的因素.
- 了解这些因素对于护士来说至关重要,以提高分拣精度和优化患者护理途径.
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