克服停滞的流量:在急诊室的垂直运动的范围审查
Bobbi-Jo Lowie1, Courtney Hicks1, Cheyenne Falat1
1Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
概括
在急诊室 (ED) 的垂直护理通过使用等待区而不是床位来改善患者流动. 本综述汇集了证据,发现大多数研究支持垂直流来提高吞吐量,尽管结果各不相同.
科学领域:
- 医疗保健管理的管理
- 紧急医疗 紧急医疗
- 过程改进 过程改进
背景情况:
- 紧急部门 (ED) 患者流动是全球医院的一个持续挑战.
- 垂直护理模型,利用等待区和椅子而不是床,以最大限度地提高吞吐量,提供了一个潜在的解决方案.
- 关于垂直护理计划的现有文献描述不一致,需要进行全面的审查.
研究的目的:
- 系统地整理和总结现有证据,以成功的垂直护理计划在急诊室.
- 确定与垂直流实施相关的共同主题,挑战和成功策略.
- 提供关于ED垂直流过程的文献总结报告.
主要方法:
- 在多个数据库中进行了全面的范围审查,包括传统和灰色文献.
- 文章由多个审稿人进行了选,并进行了完整文本审查.
- 独立审查员对21个变量进行了数据提取,第三方解决了差异.
主要成果:
- 包括36篇文章,主要来自美国,于2014年以后出版.
- 大多数研究都是观察性的,对人员和资源的报道各不相同.
- 86%的文章报告了积极的结果,通常测量停留时间和到达提供者的时间.
结论:
- 本范围审查提供了第一个对ED中垂直流文献的总结分析.
- 尽管结果和流程各不相同,但大多数研究都支持垂直流来提高ED吞吐量.
- 进一步标准化结果测量可能有利于未来的研究.
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