在急救部门过度拥挤期间,救护车转移的挑战和感知影响:一项多利益相关者研究
Kailing Adriel Rao1, Erin Y Q Wee2, Anna Oh3
1Acute & Emergency Care Department, Khoo Teck Puat Hospital, Singapore.
Prehospital emergency care
|December 2, 2024
概括
用于管理急救部门 (ED) 过度拥挤的救护车转移,造成通信问题并影响患者安全. 改善医院流量和信息共享是优化这一过程的关键.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 救护车转移是缓解急救部门 (ED) 过度拥挤的一种策略.
- 量化研究存在,但利益相关者的转移经验仍未得到充分探索.
研究的目的:
- 从关键利益相关者的角度探索救护车转移的挑战和影响.
- 收集利益相关者的建议,以改善救护车转移过程.
主要方法:
- 与33个利益相关者 (医生,护士,护理人员) 进行了半结构面试.
- 采访发生在两个急救中心和四个消防站.
- 专题分析被用来从转录的采访中确定关键主题和子主题.
主要成果:
- 主要的转移驱动因素包括资源限制,ED过度拥挤和床位堵塞.
- 挑战包括通信中断,运营延迟,不清楚的标准和情绪压力.
- 转移负面影响患者安全,员工士气,系统效率和机构间关系.
结论:
- 救护车的转移提供了暂时的缓解,但给EMS和医院带来了重大挑战.
- 解决ED过度拥挤的根本原因和加强利益相关者的理解的系统性改进至关重要.
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