过渡单位对急救部门拥挤的影响:前后研究
Mustafa Altun1, Emre Kudu2, Furkan Yakin1
1Department of Emergency Medicine, Marmara University Pendik Training and Research Hospital, Istanbul, Türkiye.
The Journal of emergency medicine
|January 25, 2026
概括
实施双重过渡单位 (TU) 显著减少了紧急部门 (ED) 拥挤,根据国家紧急部门拥挤量表 (NEDOCS) 的测量. 这一策略有效地缓解了繁忙的ED区的访问封锁.
科学领域:
- 医疗保健 运营 研究 研究 研究
- 紧急医疗管理管理
- 卫生系统科学 卫生系统科学
背景情况:
- 应急部门 (ED) 的拥挤是一个关键的运营挑战,主要是由于访问封锁造成的.
- 过渡单位 (TU) 是拟议的解决方案,以减轻患者登机延误.
- 关于TUs对ED拥挤的定量影响需要进一步描述.
研究的目的:
- 评估实施医疗和外科过渡单位 (TU) 对急诊室 (ED) 拥挤的影响.
- 测量拥挤情况的变化,使用国家紧急事务部过度拥挤规模 (NEDOCS).
主要方法:
- 一个单一中心的前性研究评估了在TU实施之前和之后的ED拥挤.
- 在运营期间,国家紧急情况部门拥挤度量 (NEDOCS) 评分每天收集六次.
- 分析了TU前 (2021) 和医疗TU-only (2023) 期间的比较数据.
主要成果:
- 与2021 (137) 和2023 (132) 相比,NEDOCS中位数在2025年 (85.6) 显著下降 (p < 0.001).与2021 (137) 和2023 (132) 相比,NEDOCS中位数在2025年 (85.6) 显著下降 (p < 0.001).
- 过度拥挤条件 (IV-VI级) 的比例从80%以上下降到38.4% (p < 0.001).
- 患者流入保持稳定,而登机次数和最长的登机时间显著减少.
结论:
- 双重医疗和外科TUs大大降低了ED拥挤严重程度,并改善了操作指标.
- 扩大跨专业的TU能力是大批量ED的有效结构战略.
- 这种方法有效地解决了门禁问题,并提高了急诊室内的患者流动.
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