The Dugout:在紧急部门重新想象了基于团队的选
概括
实施跨学科的分拣小组显著减少了急诊室 (ED) 的拥挤. 杜古特倡议降低了没有被看到的利率,门到供应商的时间和整体ED停留时间.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 优化患者流量优化
背景情况:
- 紧急诊所 (ED) 拥挤是一个影响患者结果和满意度的关键问题.
- 过度负担的医疗保健系统在有效管理患者流动方面面临挑战.
- 该研究解决了需要创新的解决方案来缓解ED拥挤的需求.
研究的目的:
- 评估一个跨学科,由医疗服务提供者领导的分类小组的影响,名为"Dugout".
- 评估这个团队对关键ED绩效指标的影响.
- 确定干预是否减少急诊室停留时间 (LOS),门到服务提供者 (DTP) 时间,以及没有被看到的 (LWBS) 率.
主要方法:
- 采用了前后研究设计.
- 在一个大型城市教学医院收集了两个6个月的数据 (2023年10月至2024年3月和2024年10月至2025年3月).
- 该研究的重点是成年患者 (18岁及以上) 提交给ED.
主要成果:
- "Dugout"团队的实施与LWBS率的显著降低有关,从14.1%降至3.0% (p < .001).
- 门到供应商 (DTP) 的时间从平均59分钟减少到38分钟 (p < .001).
- 总体而言,ED停留时间 (LOS) 的中位数从448分钟减少到429分钟 (p < .001),出院患者的减少更为明显 (407分钟减少到344分钟).
结论:
- 在分拣区域的一个专门的跨学科团队有效地减少了ED拥挤.
- "Dugout"干预显示了患者流量指标的显著改善.
- 实施这样的团队是提高ED效率和患者护理的可行策略.
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