基于急诊室的重症监护病房实施的特点和结果:一个范围审查
Jutamas Saoraya1,2,3,4, Liran Shechtman4,5, Paweenuch Bootjeamjai6
1Chulalongkorn University, Faculty of Medicine, Division of Academic Affairs, Bangkok, Thailand.
The western journal of emergency medicine
|February 7, 2025
概括
紧急病房重症监护室 (ED-ICU) 在紧急病房内提供关键护理,有可能改善患者流动并减少ICU入院. 然而,它们对患者存活时间的影响仍然不一致.
科学领域:
- 临界护理医学 临界护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 危急病患者在急诊室 (ED) 逗留时间长,与不良的临床结果有关.
- 基于急诊室的重症监护室 (ED-ICU) 建议通过直接在ED内提供重症监护来减轻这些风险.
研究的目的:
- 在全球范围内描述现有的ED-ICU模型.
- 检查ED-ICU实施与成年重症患者临床结果之间的关联.
主要方法:
- 在Ovid MEDLINE数据库中进行了全面的搜索,截至2023年10月2日.
- 包括的研究描述了ED-ICU结构,在ED内或邻近ED提供ICU级护理.
- 关于过程,患者和成本结果的数据来自31项符合条件的研究,这些研究代表了七个国家的14个ED-ICU.
主要成果:
- 报告的14个ED-ICU的容量各不相同 (3-17张床位),并满足各种重症监护需求,包括短期住院,息和灾难响应功能.
- 实施ED-ICU与减少ICU级护理的时间和减少住院ICU入院患者有关.
- 没有观察到ED-ICU与改善患者存活率之间的一致关联.
结论:
- ED-ICU已在全球范围内实施,具有根据当地要求量身定制的多种特征.
- 采用ED-ICU可能会提高临床结果,并优化医疗保健系统内的患者流动.
相关概念视频
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Hospitals-II
726
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
726
Nursing Clinical Information System
747
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
747
Specialized Care Centers and Settings-I
911
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
911
Methods of Documentation VII: EMR
823
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
823
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K


