时间运动分析紧急医生在紧急护理环境中的工作量
Scott Odorizzi1,2, Jessica Hogan2, Sabrain Idris2
1University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada.
The western journal of emergency medicine
|August 12, 2025
概括
紧急医生的工作量增加了,低急性患者现在比20年前需要更长的时间来评估. 仅加拿大分辨率和敏度度表 (CTAS) 单独不足以确定急诊室人员和薪酬.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 临床操作 临床操作
背景情况:
- 2009年"急诊室工作负荷预测者" (POWER) 研究使用了加拿大分辨率和敏度度量 (CTAS) 来评估急诊医生的工作负担.
- 自2003年以来,紧急医学的重大变化,包括EHR和与流行病有关的挑战,需要更新工作负载评估.
- 目前的人员配置模式依赖于过时的数据,影响了资源分配.
研究的目的:
- 量化 ambulatory急诊室 (ED) 患者护理任务所需的时间.
- 根据CTAS水平和临床医生因素来分层这些任务时间.
- 将当前ED评估时间与2003年POWER研究的数据进行比较.
主要方法:
- 一项前性观察时间运动研究在第三级护理学术ED中进行.
- 研究助理在2022年5周的8小时班次中跟踪了医生的任务时间.
- 总的任务时间是根据每位患者遇到的情况计算的.
主要成果:
- 门诊ED患者的平均治疗时间为21.7分钟.
- 与2003年的POWER研究相比,CTAS 4和CTAS 5患者的评估时间分别长31%和58%.
- 使用 dikta 的医生花费的时间比打字的医生花费的时间减少了 34%.
结论:
- 门诊ED患者评估时间增加了,特别是在低急性病例中.
- CTAS是紧急部门工作负载的不足唯一标记.
- 根据当前的患者护理需求,人员和薪酬公式需要重新评估.
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