对急诊室入院的系统解决方案:医院医生的观点是需要更广泛的协调和合作
Dahlia Rizk1, Joshua Lapps2, Jennifer B Cowart3
1Division of Hospital Medicine, Mount Sinai Health System, Icahn School of Medicine, New York, NY 10029, Public Policy Committee, Society of Hospital Medicine, Philadelphia, PA 19130, USA.
Health affairs scholar
|October 2, 2025
概括
进入急诊室 (ED) 是系统性医院容量问题的症状,而不仅仅是ED问题. 解决这个问题需要医院医生,紧急医疗医生和政策制定者之间的合作,以找到有效的解决方案.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 紧急医疗 紧急医疗
背景情况:
- 进入急诊室 (ED),即入院患者在急诊室等待,是一个越来越严重的问题,影响急诊室的吞吐量.
- 这种现象经常被错误地归因于ED的低效率,掩盖了更深层次的系统性问题.
研究的目的:
- 将急救登机视为更广泛的医院容量和吞吐量挑战的症状.
- 倡导涉及医院医生,紧急医疗医生和管理人员的多学科方法.
- 强调需要地方和卫生系统层面的政策干预.
主要方法:
- 本评论提出了一个概念框架,并呼吁采取协作行动.
- 它利用医院医生在急性护理和质量改善方面的专业知识.
- 它倡导一种系统思维方法来解决问题.
主要成果:
- 紧急救护登机是一个复杂的问题,源于系统性医院容量限制.
- 有效的解决方案需要跨不同临床和行政部门的协调努力.
- 地方和联邦层面的政策干预对于可持续改善至关重要.
结论:
- 医院医生和急诊医生应该合作解决ED登机问题.
- 解决方案需要对医院运营和容量管理有一个整体的看法.
- 政策改革至关重要,以减轻ED登机对患者护理和医院效率的影响.
相关概念视频
Integrated Healthcare System
2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
Methods of Documentation VI: Case Management Model
860
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
860
Introduction To Health Care Delivery System
3.9K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.9K
Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
Ethical Dilemmas II
2.3K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.3K
SBAR I: Understanding the Concept
5.8K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
5.8K


