在医疗服务不足的地区的一般急诊室使用模拟来评估儿科准备
Chrystal Rutledge1, Kristen Waddell2, Stacy Gaither1
1From the Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL.
Pediatric emergency care
|November 16, 2023
概括
一般急救部门 (GED) 与儿科急救部门 (PED) 相比,对儿科紧急情况的准备能力较低. 模拟揭示了差异,突出了改善资源和教育的需要,在服务不足的地区为关键的儿科护理.
科学领域:
- 儿科急救医学 儿科急救医学
- 改善医疗保健质量 改善医疗保健质量
- 医疗模拟 医疗模拟
背景情况:
- 儿科护理的区域化旨在通过集中资源来改善结果,但可能导致服务不足地区的儿科专家减少.
- 一般急诊室 (GED) 经常遇到儿科紧急情况,这些是高风险,低频率的事件.
研究的目的:
- 通过模拟在美国东南部提高一般急诊部 (GED) 对儿科紧急情况的准备.
- 通过模拟来评估儿科紧急临床护理过程,并评估影响准备能力的因素,如患者数量和位置.
- 将当前的发现与2013年国家儿科准备项目进行比较.
主要方法:
- 一项前性现场模拟研究评估了40个急救部门 (ED),使用儿童急救医疗服务儿科准备评分 (PRS) 和团队表现.
- 用模拟的儿科紧急情况来评估护理流程,并为每个ED计算综合质量评分 (CQS).
- 根据患者数量,对一般急诊室 (GED) 和儿科急诊室 (PED) 以及城市和农村GED进行了比较.
主要成果:
- 单一的儿科急诊室 (PED) 的儿科患者数量远高于39个一般急诊室 (GED).
- 与PED相比,GED的儿科准备分数 (PRS) 和复合质量分数 (CQS) 显著较低.
- 虽然患者数量没有显著影响GED准备,但城市GED显示CQS高于农村GED.
结论:
- 与儿科急救部门 (PED) 相比,一般急救部门 (GED) 的准备和绩效存在重大差距,特别是在服务不足的地区.
- 需要加强教育和改善一般急诊部门的资源可访问性,以确保为重症儿科患者提供足够的护理.
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