社区到学术急诊室患者转移的运营结果
Daniel L Shaw1, Adrian D Haimovich1, Anne V Grossestreuer1
1Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
The American journal of emergency medicine
|October 16, 2024
概括
医院间转移 (IHT) 到第三级急诊室 (ED) 在休息时间更为常见,并导致更高的入院率和专科咨询率. 这些转移,特别是外科咨询,影响ED操作和资源分配.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健操作 医疗保健操作
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院间转移 (IHT) 对需要在第三级急诊室 (ED) 获得专业护理的患者至关重要.
- 了解IHT的运营影响对于优化医疗保健服务至关重要.
- 这项研究侧重于IHT患者的时间和专业咨询模式.
研究的目的:
- 为了确定接受IHT的患者的操作结果,向高等学术ED.
- 分析IHT抵达的时间及其与运营指标的相关性.
- 调查转移患者的专科咨询利用模式.
主要方法:
- 对从10/1/21到9/30/22.22的ED患者遭遇的回顾性观察队列研究.
- 从ED信息系统 (EDIS) 提取的数据包括操作指标和专业咨询.
- 分析按一天的时间,一周的日期和转移状态分层.
主要成果:
- 医院间转移占ED遭遇的6.3%.
- 转移的患者在下班时间 (晚上/过夜) 更频繁.
- 转移的患者入院率较高 (76%对35%),并接受了更多的专科咨询 (90%对42%).
结论:
- 转移的患者在工作时间外增加ED体积,需要更多的资源,包括专业咨询.
- 手术子专业占转移患者的咨询次数不成比例.
- 研究结果表明,需要在区域化的卫生系统中优化专业服务的可用性,以管理IHT需求.
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