减少急救部门过度拥挤的干预措施:总体审查
Eduardo Santos1, Ana Carolina Brito2, Luana Fonseca2
1Polytechnic Institute of Viseu, School of Health, Portugal; Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Portugal; JBI, The University of Adelaide, Australia.
International emergency nursing
|December 6, 2025
概括
联合分拣和快速通道是减少急救部门 (ED) 拥挤的有效策略. 在评估和诊断方面加强护士角色进一步加快了患者护理.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 紧急诊所 (ED) 经常遇到过度拥挤,影响患者的护理和结果.
- 需要有效的策略来管理EDs内的患者流动和资源配置.
研究的目的:
- 识别和评估干预措施,以减少紧急部门的过度拥挤.
- 确定减轻ED过度拥挤的最有效策略.
主要方法:
- 通过Joanna Briggs Institute (JBI) 的方法进行了系统性审查的综合审查.
- 两个独立的审查员进行了研究选择,质量评估,数据提取和合成.
主要成果:
- 20次系统审查确定了许多干预措施,包括联合分拣,快速跟踪,快速评估单位,护士发起的诊断,流媒体和初级医疗保健 (PHC) 合作.
- 确定最有效的策略是联合分拣,快速通道,快速评估单位,护士发起的诊断测试,流媒体和非紧急转诊的PHC合作.
结论:
- 有效的分类,流量管理和积极的团队行动的结合对于缓解ED过度拥挤至关重要.
- 联合分类和快速通道是最具影响力的措施.
- 扩大护士在诊断和管理快速评估单位中的作用对于提高护理效率至关重要.
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