患者到急诊室的途径:一个范围审查
Målfrid Asheim Nummedal1, Sarah Elizabeth King2, Oddvar Uleberg2,3,4
1Trondheim Emergency Department Research Group (TEDRG), Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. Malfrid.a.nummedal@ntnu.no.
International journal of emergency medicine
|May 2, 2024
概括
在急诊室 (ED) 参观之前了解患者的旅程对于减少拥挤至关重要. 一项范围审查发现ED前护理的研究有限,强调需要标准化报告以改善患者流动和医疗保健策略.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- 紧急服务室 (ED) 拥挤是医疗保健的一个重大挑战.
- 了解ED前患者护理途径对于制定有效的医疗保健策略至关重要.
- 这些信息可以为管理ED外的低急性患者的策略提供信息,减少不必要的入院.
研究的目的:
- 对所有ED患者的急性护理轨迹进行全面的全球研究范围审查.
- 为了确定患者从哪里来,以及他们在ED入院前所接受的护理.
主要方法:
- 该审查遵循JBI证据综合手册和PRISMA-SCR指南.
- 在MEDLINE,Embase和Cochrane图书馆进行了系统的文献搜索,直到2022年12月5日.
- 两位独立审查员选了6465份记录,其中包括14项符合纳入标准的研究.
主要成果:
- 包括来自9个国家的14项研究.
- 关于患者起源 (4项研究) 和在ED前寻求的医疗护理 (6项研究) 的数据有限.
- 十项研究报告了患者运输方法,六项研究确定了转诊来源.
结论:
- 在详细介绍患者到ED的途径的研究中存在重大差距.
- 一些证据表明,在ED访问之前,一定比例的患者会咨询初级保健医生 (PCP).
- 建议对ED前患者旅程进行标准化报告,以改善医疗保健提供和减少ED拥挤.
相关概念视频
Methods of Documentation VI: Case Management Model
570
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
570
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Methods of Documentation VII: EMR
832
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
832
Endoscopic Procedures V: ERCP
202
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
202
Planning Nursing Care I
4.4K
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...
4.4K
Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K


