自行选工具与护士驱动的选在急诊室的比较
Sachin V Trivedi1, Rachit Batta2, Nicolas Henao-Romero3
1Department of Emergency Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
PloS one
|August 28, 2024
概括
发现急诊室 (ED) 访问的患者自我选工具是不准确的. 这些工具,包括基于算法生成的自我选 (AGST) 和视敏度尺度 (VAS) 的工具,与标准的护士驱动的选过程不一致.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健信息学 医疗保健信息学
- 患者选系统 患者选系统
背景情况:
- 加拿大的急救部门 (ED) 使用加拿大分辨率和敏度度量 (CTAS) 进行患者评估.
- 护士驱动的分组是确定患者敏度和紧迫性的标准.
- 这项研究评估了患者自我选工具的有效性.
研究的目的:
- 与护士驱动的分拣相比,评估两个专有自行分拣工具 (AGST和VAS) 的准确性.
- 为了确定患者是否可以使用这些工具准确地进行自我选.
- 评估自我选的潜力,以加强ED选过程.
主要方法:
- 纳入了223名门诊ED患者 (≥17岁) 的便利样本,主要抱怨的是胸痛,腹痛,呼吸问题或肌肉骨疼痛.
- 参与者使用了算法生成的自我分类 (AGST) 调查或基于视敏度尺度 (VAS) 的自我分类工具,或两者兼而有之.
- 主要结果是自生成的CTAS分数与护士驱动的CTAS分数之间的一致性.
主要成果:
- 总共分析了223名患者,其中包括胸部疼痛 (14.3%),呼吸短促 (11.2%),腹部疼痛 (33.6%) 和肌肉骨疼痛 (40.8%) 等不同的主要投诉.
- 观察到患者使用自我选工具的参与度很高,其中47.2%完成了AGST,52.8%完成了VAS,25.9%完成了两者.
- 无论是AGST还是VAS工具,在所有四个提出投诉的投诉中,都表明与护士驱动的分拣标准的一致性不佳.
结论:
- 使用AGST或VAS工具进行自我选与已建立的护士驱动的选标准相比,不准确.
- 虽然自我选工具对于特定的投诉可能是可行的,但对所有ED患者的广泛实施不是一个可行的选择.
- 需要进一步的研究来探索自我选在优化ED选过程中的潜力.
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