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超出容量:一个EAST多中心混合方法研究,探索外科医生对急性护理手术患者比例的看法
Danielle J Wilson1, Jaclyn A Gellings1, Jamie Coleman2
1Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Trauma surgery & acute care open
|November 20, 2025
概括
外科医生的观点显示,理想的急性护理手术患者负载往往超过. 建立基于证据的提供者与患者的比率对于质量护理和预防倦怠至关重要.
科学领域:
- 手术 手术 手术 术 术
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 在急性护理手术 (ACS) 中,提供者对患者 (PtP) 的最佳比率尚未定义.
- 这些比率对于确保护理质量和提供者的可持续性至关重要.
研究的目的:
- 为了确定外科医生对ACS中最大理想PtP比率的看法.
- 评估创伤,紧急整体外科 (EGS) 和外科重症监护室 (SICU) 服务中的这些比率.
主要方法:
- 一个多中心混合方法研究,涉及定量调查和半结构面试与ACS外科医生.
- 这些数据是从美国I/II级创伤中心的外科医生收集的.
- 调查和采访分别使用描述性统计和定性分析进行分析.
主要成果:
- 感知最大安全负载:<20名患者独立创伤/EGS,SICU ≤10人.
- 在团队的支持下,创伤/EGS的负载高达40个,SICU的负载≤20个被认为是安全的.
- 72%的中心超过了他们自己的领导力推的最大值,敏度和工作负载的影响比率.
结论:
- 本研究为ACS PtP比率建立了潜在的上限基准.
- 部门领导层应制定人员配置模型,考虑敏度和复杂性,并为高工作负载制定升级协议.
- 目前的做法往往超过理想的比例,需要基于证据的指导方针来平衡财务和患者的结果.
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