评估外部和内部因素对应急部门过度拥挤的影响
Abdulaziz Ahmed1,2, Khalid Y Aram3, Mohammed Alzeen1
1Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35233, USA.
Healthcare (Basel, Switzerland)
|October 29, 2025
概括
紧急部门 (ED) 的拥挤受天气,假日和延迟事件影响的影响. 了解这些因素有助于动态分配资源,以改善患者流动.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健 运营 研究 研究 研究
- 公共卫生 公共卫生
背景情况:
- 紧急部门 (ED) 拥挤是一个复杂的问题.
- 现有的研究往往检查有限的变量和时间框架.
- 影响ED过度拥挤的操作和非操作因素的时间动态未得到充分研究.
研究的目的:
- 分析影响ED过度拥挤的因素.
- 检查运营,环境和外部变量对ED等待时间的影响.
- 调查外部事件和环境条件对ED患者流量的延迟影响.
主要方法:
- 美国东南部学术医疗中心的回顾性观察研究 (2019-2023年).
- 分析ED跟踪,医院人口普查,天气,足球赛事和联邦假日数据.
- 开发七种回归模型来评估每小时ED等待数量的预测因素.
主要成果:
- 天气条件与ED等待时间的增加有显著的相关性.
- 联邦假日和周末与等待时间减少有关.
- 足球比赛 (12小时前) 的延迟影响增加了等待时间;登机和医院普查显示了时间依赖的相关性.
结论:
- 患者流动受到操作和非操作因素的影响.
- 诸如天气,假日,登机和人口普查等预测因素是了解过度拥挤的关键.
- 识别这些预测因素可以为动态资源分配策略提供信息,以减轻ED过度拥挤.
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