应急部门门到出院时间
Megan Anderson1, Alex Yoxall2, Anshul Bhatnagar2
1Medical College of Wisconsin, Milwaukee, Wisconsin, mcanderson@mcw.edu.
WMJ : official publication of the State Medical Society of Wisconsin
|November 7, 2024
概括
在微型医院急诊室为新医生提供标准化的入门服务,在一个地点显著减少了门到出院的时间. 这种具有成本效益的策略可以帮助减少等待时间并防止过度拥挤.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 医生教育 医生教育
背景情况:
- 急诊室 (ED) 的数量不断增加,需要有效的患者护理.
- 缩短门到出院 (D2D) 时间可以提高患者的满意度,降低医疗保健成本.
- 优化ED工作流对于学术卫生系统至关重要.
研究的目的:
- 评估标准化登陆对微型医院ED的新医生的D2D时间的影响.
- 为了确定一个结构化的登机流程是否可以减少患者等待时间.
- 评估医生登陆在提高ED效率方面的成本效益.
主要方法:
- 在两个微型医院ED (2021-2022) 中,对新医生的D2D时间进行了回顾性观察研究.
- 在接受标准化登机和没有接受标准化登机的医生之间比较D2D时间.
- 统计分析使用双样本t测试来比较平均D2D次数.
主要成果:
- 一个ED显示,安装医生平均D2D时间显著减少 (119分钟对146分钟,P=0.049).
- 另一种ED在D2D时间之间没有显著差异 (97分钟对102分钟,P=0.760).
- 总体而言,上网导致两个站点的D2D时间减少不显著 (110分钟对126分钟,P=0.160).
结论:
- 标准化医生登机可以显著减少微型医院ED的D2D时间.
- 登陆是一个潜在的简单和成本效益的方法来减少ED过度拥挤.
- 建议进行进一步的研究,以评估在非微型医院ED设置中的入学有效性.
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