影响复杂三级急诊中心质量指标的障碍和挑战.
Mohammad J Jaber1, Alanoud A Bindahmsh1, Mohammad A Abu Dawwas1
1Department of Nursing, Emergency Administration, King Fahad Medical City, Riyadh Second Health Cluster, Riyadh, Saudi Arabia.
Global journal on quality and safety in healthcare
|November 13, 2024
概括
紧急部门的过度拥挤严重影响质量指标,拥挤的等待室和人员短缺是关键问题. 解决基础设施,工作流程和人员是提高紧急护理绩效的关键.
科学领域:
- 医疗保健管理的管理
- 紧急医疗 紧急医疗
- 护理研究 护理研究
背景情况:
- 紧急部门 (ED) 过度拥挤是影响医疗保健服务的全球性挑战.
- 增加的患者访问量和持续的问题导致员工面临挑战,患者满意度下降.
- 医院的表现更多地受到外部因素的影响,而不是内部因素.
研究的目的:
- 探索影响ED质量指标 (QI) 的障碍和挑战.
- 分析五个领域的QI变化:基础设施,人口,工作流,劳动力和管理.
主要方法:
- 进行了一项横截面描述性研究.
- 对180名护士进行了一份包含标准化措施的问卷调查.
- 这项研究是在沙特阿拉伯的第三级急诊中心进行的.
主要成果:
- 75.5%的护士认为拥挤的等待室是影响QI的主要因素.
- 确定的挑战包括床位容量,分拣工作流程,高峰量,非紧急访问和人员短缺.
- 根据教育,专业和ED经验,发现了响应的显著差异.
结论:
- 基础设施,工作流程,人口,劳动力和护理管理都会对ED患者流动产生重大影响.
- 了解这些因素对于提高ED的性能和为政策提供信息至关重要.
- 优化ED资源需要战略决策和考虑资源限制.
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