实施儿科虚拟急诊室:一个描述性的分析
Joanna Lawrence1,2,3,4, James H Boyd2, Vaughan Rosier2
1Victorian Virtual Emergency Department, The Northern Hospital, Northern Health, Melbourne, Australia.
Journal of paediatrics and child health
|December 31, 2025
概括
维多利亚州儿童虚拟急诊室 (VVED-Kids) 成功管理了超过13万例非危及生命的儿科病例,将大多数从物理急诊室转移.
科学领域:
- 数字健康数字健康
- 儿科急救医学 儿科急救医学
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 维多利亚州的虚拟紧急情况部门 (VVED) 为非危及生命的情况提供全州范围的虚拟紧急咨询服务.
- 专门的儿科部门VVED-Kids是为了满足儿童的特殊需求而成立的.
研究的目的:
- 探索VVED-Kids的使用模式.
- 评估VVED-Kids对急诊室 (ED) 演示的影响.
主要方法:
- 对从VVED-Kids.收集的数据进行了回顾性分析.
- 包括2023年3月至2025年2月期间出现的0-17岁患者.
- 分析社会人口统计数据,参考来源,诊断 (ICD代码) 和处置.
主要成果:
- 在两年的时间里,对VVED-Kids进行了130,821次演讲.
- 患者的中位年龄为3岁,53.1%是男性,73%来自大都市地区.
- 最常见的转诊:自我转诊 (64.1%);常见的诊断:病毒感染 (发烧,胃肠炎,呼吸系统疾病).
- 85.6%的演讲没有转移到物理ED.
结论:
- VVED-Kids有效地将患者从物理ED转移,为高急性病例保留个人护理.
- 与值班护士和维多利亚救护车的合作加强了家庭护理和避免ED.
- 虚拟紧急服务在优化儿童医疗保健和资源分配方面发挥着至关重要的作用.
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