低值诊断测试可能是复杂的访问封锁吗? 一个单一的,横截面的研究研究
Heidi Walker1, Courtney West1, Luke Lawton1,2
1Townsville University Hospital, Douglas, Queensland, Australia.
Emergency medicine Australasia : EMA
|July 21, 2025
概括
在急诊室 (ED) 中,近一半的诊断测试是低价值的,增加了等待时间,减少了床位的可用性. 需要制定策略来减少这些测试并改善紧急护理.
科学领域:
- 紧急医疗 紧急医疗
- 诊断测试 诊断测试 诊断测试
- 医疗保健服务研究 医疗服务研究
背景情况:
- 低价值的诊断测试有助于医疗保健成本和资源紧张.
- 优化诊断测试利用对于高效的急救部门 (ED) 操作至关重要.
研究的目的:
- 为了确定低价值诊断测试在主要转诊ED的流行率.
- 评估这些测试对ED停留时间和床位可用性的影响.
主要方法:
- 唐斯维尔大学医院的一项横截面研究包括了成年患者,他们接受了10项特定的诊断测试.
- 根据使用临床文档的明智选择建议,测试被归类为低值.
- 紧急诊所的医生对这项研究的进行失明.
主要成果:
- 48.2%的所有诊断测试 (276/572) 被归类为低价值.
- 低价值的实验室测试占50.6% (246/486),低价值的成像测试占24.4% (21/86).
- 低值成像测试导致每100个测试中损失152个睡眠时间,影响ED能力.
结论:
- 在ED中进行的诊断测试中,很大一部分是低价值的.
- 低值测试加剧ED访问封锁,减少床位的可用性,并推迟紧急护理.
- 实施基于证据的策略对于减少低值测试和减轻患者伤害至关重要.
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