结果推送通知改善时间到紧急部门的处置:一个务实的观察性研究
Sayon Dutta1, Lisette Dunham2, Dustin S McEvoy2
1Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA; Mass General Brigham Digital, Boston, MA.
Annals of emergency medicine
|September 25, 2024
概括
向急诊室临床医生发送测试结果推送通知.
科学领域:
- 紧急医疗 紧急医疗
- 医疗信息学 医疗信息学
背景情况:
- 紧急部门 (ED) 拥挤是一个重大问题.
- 延迟的患者吞吐量有助于ED拥挤.
- 在诊断测试后的决策效率低下加剧了延迟.
研究的目的:
- 评估智能手机推送通知诊断测试结果对ED的决策时间的影响.
- 评估实时结果交付是否提高了患者护理效率.
主要方法:
- 追溯分析了237,872次ED接触 (2022年10月至2023年10月).
- 从最后一个测试结果到基于推送通知使用的处置决定的时间比较.
- 使用概括估计方程分析来控制混变量.
主要成果:
- 27.1%的临床医生使用推送通知.
- 遇到推送通知的人有18分钟更快的决策时间 (95%CI15-21).
- 这种效应在实验室和成像结果中都被观察到.
结论:
- 订阅测试结果的推送通知可以显著减少ED处置决策的时间.
- 这一战略显示了改善ED患者流动的潜力.
- 需要进一步的研究来证实对ED整体吞吐量的影响.
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