影响产科位时间的因素:临床,操作和患者特定分析
Sebastian J Geraci1, Kevin Espino1, Rosanne Vertichio1
1Department of Obstetrics and Gynecology, NYU Langone Hospital-Long Island, NYU Grossman Long Island School of Medicine, Mineola, New York.
产科分类时间到处置受患者因素和人员配置的影响. 不被录取的患者和高风险病例经历了显著更长的停留时间 (LOS),突出了改善工作流程的领域.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健管理的管理
- 优化患者流量优化
背景情况:
- 产科分组是患者护理和资源分配的关键点.
- 了解影响分拣时间到处置的因素对于改善患者的治疗结果和运营效率至关重要.
研究的目的:
- 评估影响产科选时间到处置的因素.
- 测试假设,高风险患者和人员不足的时期延长停留时间 (LOS).
主要方法:
- 对6612次产科分娩诊断访问 (2022-2023) 的回顾性队列研究.
- 分析包括患者倾向 (入院与非入院),首席投诉和人口因素.
- 统计分析使用SAS进行千平方,费舍尔精确,t测试和曼-惠特尼测试 (p <0.05).
主要成果:
- 与入院患者 (64分钟) 相比,未入院患者的LOS显著更长 (185分钟).
- 高风险的孕产妇药物和早产患者经历了更长的LOS.
- 白天和周日的评估与显著更长的LOS有关.
结论:
- 患者和单位因素显著影响产科选LOS.
- 未入院的患者面临三倍的LOS,这表明需要有针对性的干预措施.
- 高风险怀孕和白天/周日访问需要注意优化分拣工作流程.
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