实施一个虚拟的急诊室,以避免不必要的急诊室演示
Jaimon T Kelly1,2, Nicole Mitchell3,4, Katrina L Campbell2,3
1Centre for Online Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Emergency medicine Australasia : EMA
|November 9, 2023
概括
一个虚拟急诊室 (ED) 有效地管理患者,防止70%的人需要实物ED访问. 这种虚拟护理模型证明了在紧急护理中的可行性和高度接受.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 物理急诊室 (ED) 处理紧急的健康问题,但许多情况可以在其他环境中处理.
- 对ED的需求日益增加,需要创新的解决方案来优化患者流量和资源配置.
研究的目的:
- 评估虚拟ED模型的可行性,可接受性和有效性.
- 确定虚拟ED的潜力,以减少不必要的物理ED演示在澳大利亚大型三级医疗服务.
主要方法:
- 使用RE-AIM框架 (覆盖范围,有效性,采用,实施,维护) 的观察性研究.
- 评估虚拟ED可行性使用例行收集的医疗服务数据和评估过程对干预的忠实性和坚持.
- 从2020年4月到2022年3月收集的数据.
主要成果:
- 虚拟ED处理了2080个直接电话;70.4%的电话在没有实体ED访问的情况下得到解决.
- 95.8%的提交被认为是可能可以避免的.
- 一般医生发现虚拟ED有帮助,平均月度增长率为65.2%.
结论:
- 虚拟ED成功地阻止了70%的 triaged 患者参加物理ED.
- 该模型表现出良好的采用,并支持在紧急管理中整合虚拟护理途径.
- 虚拟ED是一个有用和临床上适合的紧急护理服务.
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