根据NEDOCS评分制定紧急部门突袭计划
Annals of family medicine
|January 25, 2024
概括
在紧急部门 (ED) 实施成人激增计划显著减少了ED的等待时间和国家紧急部门拥挤研究 (NEDOCS) 的得分. 然而,其他关键指标,如停留时间和未被看到的离开率,没有显著改善.
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:
- 紧急诊所 (ED) 过度拥挤是一个全球性挑战,对患者安全有重大影响.
- 导致过度拥挤的因素包括人员短缺,诊断延迟和住院病床容量不足.
- 过度拥挤导致患者死亡率增加,停留时间更长 (LOS),并且患者离开未接受治疗的比例更高.
研究的目的:
- 评估已实施的ED成人激增计划对ED患者吞吐量的影响.
- 评估与ED过度拥挤和效率相关的关键绩效指标的变化.
主要方法:
- 一项从2023年1月至4月在学术医疗中心进行的前性单站点研究.
- 包括16,701名成年ED访问和12,269名患者.
- 结果指标包括平均ED等待时间,ED LOS,未见病率,门到医生的检查时间,以及国家急诊部拥挤研究 (NEDOCS) 的得分.
主要成果:
- 实施后平均ED持久时间从9.9小时减少到5.7小时 (p=0.03).
- 平均NEDOCS分数显著下降,从186.2降至131.2 (p<0.0001).
- 没有观察到平均ED LOS,未见率或门到医生的平均检查时间的显著改善.
结论:
- 实施ED成人激增计划可以有效地减少ED持久时间并提高NEDOCS分数.
- 需要进一步的研究来解决其他ED吞吐量指标,并确定全面的干预措施.
- 优化ED患者流动需要一个多方面的方法,而不仅仅是激增规划.
相关概念视频
Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
Planning Nursing Care II
2.7K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.7K
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K
Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
Nursing Clinical Information System
778
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
778


