为什么我在接受治疗之前离开急诊室 (没有等待):一个横截面研究
Abdi D Osman1,2,3, Jahar Bhowmik4, Robert Millar1,2
1Emergency Department, Austin Health, Melbourne, Victoria, Australia.
Emergency medicine Australasia : EMA
|January 7, 2026
概括
患者在治疗前离开急诊室 (ED),称为不等待决定 (DNW),可以通过提供临床建议和估计的等待时间来减少. 了解这些患者的行为对于改善ED护理至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 患者行为研究 患者行为研究
- 医疗保健管理的管理
背景情况:
- 了解为什么患者在接受治疗之前离开急诊室对于改善患者安全和护理至关重要.
- 在离开急救室后,随后的健康寻求行为需要进一步调查.
研究的目的:
- 探索患者对不等待 (DNW) 决策的观点.
- 记录患者在没有治疗的情况下离开ED的护理利用模式.
主要方法:
- 通过连接到REDCap数据库的自动化消息平台设计和管理了一项横截面调查.
- 在5个月的时间里,从37,303个ED陈述中收集了数据,其中246个来自DNW队列的响应.
主要成果:
- 该研究包括246名参与者,平均年龄为44.3岁; 67.1%是女性.
- 收到关于情况恶化的建议与等待意愿有关 (p=0.011).
- 超过一半的参与者 (53.8%) 是分拣类别2或3,表明急性疾病.
结论:
- 提供临床建议和等待时间估计可能会降低患者在治疗前离开ED的比例.
- 解决患者对等待时间的担忧对于提高ED安全性和患者流动至关重要.
更多相关视频
相关概念视频
Bystander Effect
10.2K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
10.2K
Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
Methods of Documentation VI: Case Management Model
852
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
852
Methods of Documentation III: PIE
2.0K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
2.0K
Endoscopic Studies II: Thoracocentesis
1.2K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.2K
Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K


