应用悉尼选入院风险工具 (START) 改善急诊室患者流动:一个多中心的随机化实施研究
Saartje Berendsen Russell1, Radhika V Seimon2, Emma Dixon3
1Emergency Department, RPA Green Light Institute, Royal Prince Alfred Hospital, Missenden Road, 2050, Camperdown, NSW, Australia. Saartje.BerendsenRussell@health.nsw.gov.au.
BMC emergency medicine
|March 8, 2024
概括
悉尼的入院风险评估工具 (START) 与高级临床医师评估相结合,显示入院患者的急诊室逗留时间略有减少. 这项研究评估了START.
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
- 临床分类是临床分类.
背景情况:
- 评估悉尼选入院风险工具 (START) 的有效性,以及在不同紧急部门 (ED) 的高级早期评估.
- 评估标准化选工具对大都市急救机构患者流动和资源利用的影响.
研究的目的:
- 确定START工具在与高级早期评估一起使用时,在减少急诊室停留时间方面的有效性.
- 评估START工具在识别需要住院治疗的患者中的准确性.
主要方法:
- 一项多中心实施研究,涉及两个大都会医院773名ED患者的便利样本.
- 通过START (干预组) 的帮助评估的患者与没有 (对照组) 评估的患者进行比较.
- 测量急诊室住院时间和正确识别入院的患者比例.
主要成果:
- 两组之间满足4小时停留时间值的患者比例没有显著差异 (30.1%对28.2%).
- 干预组的平均ED停留时间略有减少 (351分 vs 383分).
- 当分层对入院和出院患者的结果进行分层时,观察到类似的结果.
结论:
- 当与高级早期评估一起实施悉尼入院风险评估工具 (START) 时,它显示出减少急诊室停留时间的潜力.
- 对START护理模式的进一步调查可能会优化ED环境中的患者流量和资源管理.
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