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来自独立急诊室的普通外科患者的远程分拣实践:一个6年的分析分析

Stephanie Jensen¹, Maria Baimas-George¹, Hongmei Yang²

¹Carolinas Medical Center, Department of Surgery, Charlotte, NC.

|November 28, 2023

概括

在独立的急诊室 (FSEDs) 进行手术患者的远程分拣是有效的. 这种方法显示了低的不足和过量选率,确保了适当的患者处置和护理准入.

科学领域:

紧急医疗紧急医疗
手术护理手术护理
医疗保健服务研究医疗服务研究

背景情况:

独立的急救部门 (FSED) 正在扩大医疗保健的准入.
通过从FSEDs远程分拣进行手术患者的管理还没有得到很好的描述.
这项研究评估了向FSEDs提出的一般外科病人的远程分拣.

研究的目的:

评估FSED手术患者远程分拣的实用性和安全性.
分析患者的倾向,结果和分拣准确性.
建立外科护理中远程分拣实践的基准.

主要方法:

从2016年到2021年,对1105名手术患者进行了回顾性队列研究.
分析患者情绪:出院回家,转移到创伤中心或社区医院.
根据定义的标准计算不足和过剩率.

主要成果:

15%的患者在家出院,27%的患者在创伤中心治疗,58%的患者在社区医院治疗.
转移不足的位为0.9%;排放不足的位为12%.
过量选率为5.5%,主要是由于观察需要.

结论:

在FSEDs的远程手术分拣显示了低的不足和过多分拣率.
这种方法反映了手术患者管理的适当选实践.
通过远程分拣和处置,FSED可以有效地管理手术患者.

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