对纽约数据的分析:医院容量的波动是由可选入院和出院活动的变化驱动的
Samita M Heslin1, Mark Henry1, Eugene Litvak2
1Emergency Medicine, Stony Brook University, Stony Brook, USA.
Cureus
|May 17, 2024
概括
医院容量在整个一周内大幅波动,这是由可选的入院和出院驱动的. 调整选修课程安排和增加周末出院率可以改善医院患者流动和安全.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院过度拥挤对患者安全构成重大风险.
- 了解住院和出院的每日波动对于管理能力至关重要.
- 患者流量的变化会影响整体医院资源利用率.
研究的目的:
- 为了量化纽约州医院入院和出院的日常变化.
- 分析患者流动的每周模式,区分急诊室 (ED) 和选择性入院/出院.
- 确定ED与选择性途径对整体医院容量变化的贡献.
主要方法:
- 纽约州全州规划和研究合作系统数据库 (2015年) 的回顾性分析.
- 包括所有纽约医疗保健机构的患者级数据.
- 根据每周一天分析的结果,包括总体体积,停留时间和患者的来源 (ED与可选).
主要成果:
- 住院病例总数在周一和周二达到峰值,在整个星期都在下降.
- 选择性外科入院显示显著的每周变化,集中在一周的开始.
- 在ED和选修课程中,周末的出院人数显著下降,与周日的增加形成鲜明对比.
结论:
- 医院容量表现出相当大的每周变化,主要受到选择性入院和出院的影响.
- 医院可以通过优化选择性安排和增加周末出院率来减轻这种变化.
- 解决这些模式可以改善医院容量管理和患者安全.
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