与患者离开加拿大急诊室没有被看到相关的因素
Scott Odorizzi1,2,3, Sandra Blais-Amyot3, Peter Greenstreet2
1University of Ottawa, Department of Emergency Medicine, Ottawa, Ontario, Canada.
The western journal of emergency medicine
|January 19, 2026
概括
年龄较小,男性性别,患者敏度较低,急诊室 (ED) 拥挤增加了患者离开未被看到的可能性. 解决这些因素可以改善ED护理,减少运营效率低下.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 没有被看到的离开 (LWBS) 是紧急部门 (ED) 的一个关键绩效指标.
- LWBS与患者不良结果和运营效率低下有关.
- 识别影响LWBS的因素对于改善ED护理至关重要.
研究的目的:
- 系统地调查患者和系统层面的因素,有助于LWBS行为.
- 量化人口统计,访问特征和ED拥挤对LWBS率的影响.
主要方法:
- 在第三级护理ED进行了回顾性队列研究,分析了两年来170,536名患者的遭遇.
- 数据包括患者人口统计,分辨分辨分数 (加拿大分辨和敏度量表 (CTAS)) 和操作指标.
- 多变量逻辑回归分析了影响LWBS率的因素.
主要成果:
- 9.1%的患者没有被看病;1.6%在分拣前离开.
- 高龄降低了LWBS的几率;男性增加了LWBS的几率.
- 增加ED拥挤 (等待或等待处置的患者) 和降低患者敏度 (更高的CTAS分数) 显著增加了LWBS的几率.
结论:
- 年龄较小,男性性别,敏度较低和ED拥挤是LWBS的重要独立预测因素.
- 患者数量和ED拥挤都会影响LWBS的行为.
- 优化患者流动可能会改善感知到的进展,并鼓励患者留下来接受护理.
更多相关视频
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
2.8K
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.6K
相关概念视频
Factors Affecting Protein-Drug Binding: Patient-Related Factors
307
Protein-drug binding, a pivotal aspect of pharmacokinetics, is subject to considerable variability influenced by an array of patient-related factors. The intricate interplay of age, individual differences, and pathological conditions significantly impact the binding dynamics and subsequent pharmacological effects.
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
Age stands as a key determinant in protein-drug binding. Neonates, characterized by low albumin content, experience heightened concentrations of unbound drugs such as phenytoin and...
307
Leaving Groups
9.6K
The nature of leaving groups strongly influences the outcome of a nucleophilic substitution reaction.
In general, in a nucleophilic substitution reaction, a nucleophile displaces a functional group, called the leaving group, from the substrate to give a substituted product. A leaving group departs the substrate molecule through heterolytic cleavage, taking the pair of electrons with it to become a relatively stable weak base in the form of an anion or a neutral molecule.
In a...
In general, in a nucleophilic substitution reaction, a nucleophile displaces a functional group, called the leaving group, from the substrate to give a substituted product. A leaving group departs the substrate molecule through heterolytic cleavage, taking the pair of electrons with it to become a relatively stable weak base in the form of an anion or a neutral molecule.
In a...
9.6K
Emerging Adulthood
638
Jeffrey Arnett's concept of emerging adulthood offers a framework to understand the unique developmental stage between adolescence and full-fledged adulthood, generally from ages 18 to 25. This period is marked by extensive exploration and shifts in identity, relationships, and career choices, a process known in psychology as role experimentation. Emerging adulthood reflects the evolving cultural expectations surrounding adulthood and the dynamic process of personal transformation during...
638
Introduction Cardiac Emergencies
299
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
299
Transcription Factors
82.3K
Tissue-specific transcription factors contribute to diverse cellular functions in mammals. For example, the gene for beta globin, a major component of hemoglobin, is present in all cells of the body. However, it is only expressed in red blood cells because the transcription factors that can bind to the promoter sequences of the beta globin gene are only expressed in these cells. Tissue-specific transcription factors also ensure that mutations in these factors may impair only the function of...
82.3K
Basic Plant Anatomy: Roots, Stems, and Leaves
63.9K
The primary organs of vascular plants are roots, stems, and leaves, but these structures can be highly variable, adapted for the specific needs and environment of different plant species.
63.9K
