成人急诊室出院干预措施的范围审查
Mary-Kate Gorlick1, Shriman Balasubramanian2, Gregory Han2
1UT Health Houston, Department of Emergency Medicine, Houston, Texas.
The western journal of emergency medicine
|August 12, 2025
概括
提高急救部门 (ED) 排放质量至关重要. 这次审查发现,加强患者教育和明确的指令是获得更好的结果的关键,但对弱势群体需要更多的研究.
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
- 患者安全 患者安全
背景情况:
- 紧急部门 (ED) 的出院过程显著影响患者的治疗结果.
- 排放质量不佳是一个常见的问题,但缺乏对干预措施的全面审查.
研究的目的:
- 为了进行成年人ED排放干预的范围,总结性审查.
- 确定最佳实践和未来的研究方向,以改善ED的核准.
主要方法:
- 在主要数据库 (MEDLINE,Embase,Cochrane,CINAHL) 进行了系统的文献搜索,截至2023年2月.
- 包括在2003-2023年间发表的100项研究,重点关注成年人基于ED的放电干预措施.
- 排除了对儿科患者群体,非ED环境和干预措施的研究,主要是出院后的干预.
主要成果:
- 专注于提高患者理解出院说明的干预措施显示出最大的影响.
- 有效的策略包括专门的人员进行放电讨论,结构化的检查清单,以及适当的阅读级别的指令.
- 关于患者长期结果,成本效益分析以及弱势群体的经验的研究有限.
结论:
- 改善患者理解出院信息的干预措施是最有效的.
- 该审查确定了以患者为中心的ED出院创新的有希望的途径.
- 进一步的研究至关重要,以优化成年人ED释放过程,特别是对于服务不足的群体.
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