通过使用曼彻斯特分拣系统转介低分拣患者来减轻儿科急诊室的负担
Anna Sorz-Nechay1, Franziska Leeb1, Michaela Haas1
1Division of Pediatric Pulmonology, Allergology and Endocrinology, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
European journal of pediatrics
|June 10, 2025
概括
使用曼彻斯特选系统 (MTS) 从急诊室转移低紧急的儿科患者,有效减少了患者的访问和拥挤. 这一策略保持了高的患者安全和满意度水平,证明了成功的替代护理途径.
科学领域:
- 儿科急救医学 儿科急救医学
- 医疗保健管理的管理
- 测量系统的测量系统.
背景情况:
- 儿科急诊室 (PEDs) 面临着严重的拥挤,因为患者数量很大,特别是那些急诊程度低的患者.
- 曼彻斯特分类系统 (MTS) 是一种验证的工具,用于评估PED患者的急迫性.
- 对非紧急病例而言,PEDs的过度拥挤需要采用替代的管理策略,以提高效率和患者护理.
研究的目的:
- 为了评估低急症儿科患者的安全性,满意度和诊断结果,转移到替代护理机构.
- 评估推流程对减少儿科急诊室患者访问和拥堵的影响.
主要方法:
- 对来自医院PED的低紧急患者 (MTS紧急级别4和5) 实施了转诊过程.
- 收集了关于诊断,治疗,住院率和患者/家庭对转诊患者的满意度的数据 (n=2394).
- 通过对一小部分转诊患者 (n=568) 进行的调查来评估患者的满意度.
主要成果:
- 转介过程显著减少了PED总访问量.
- 只有1.1%的转诊患者需要住院治疗,没有基于年龄或性别的显著差异.
- 呼吸系统疾病是转诊患者中最常见的医疗问题.
- 报告称,家庭对PED过程和外部治疗的满意度很高,尽管有些不满是由于转诊沟通不清楚而引起的.
结论:
- 通过MTS转介低急症患者是一种安全有效的策略,以缓解PED拥堵.
- 实施的转诊系统保持了高的患者安全和满意度.
- 优化推沟通对于提高整体患者体验至关重要.
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