减少过量选与儿科急诊室患者流量的增加有关
Hannah Sjöstedt1,2, Samah Habbouche3,4, Lina Holmqvist3,4
1Gothenburg Emergency Medicine REsearch Group (GEMREG), The Sahlgrenska University Hospital, Gothenburg, Sweden. Hannah.sjostedt@vgregion.se.
Scandinavian journal of trauma, resuscitation and emergency medicine
|January 31, 2026
概括
在儿科急诊室 (PED) 实施West-P分拣系统减少了过量分拣,从而使急诊患者的医生访问更快,患者整体停留时间更短. 这项研究强调了优化分拣系统的好处,以改善患者流动和安全.
科学领域:
- 紧急医疗 紧急医疗
- 儿科护理 儿科护理
- 医疗保健系统分析 医疗保健系统分析
背景情况:
- 儿科急诊室 (PED) 的拥挤严重威胁到患者的安全,主要是由于患者流动缓慢.
- 过度选,与选系统相关的风险,可以加剧患者流动问题.
- 在哥德堡的PED中实施了WEST-P分拣系统,以减少过量分拣,取代了RETTS-p系统.
研究的目的:
- 为了比较RETTS-p和WEST-P分拣系统之间的患者流量指标.
- 评估不同分拣系统对儿科紧急情况中过量分拣水平的影响.
- 评估过量选的变化如何影响患者的等待时间和逗留时间.
主要方法:
- 在瑞典哥德堡的Silvia女王PED进行了一项回顾性观察性研究.
- 收集了2018-2019年3月 (RETTS-p) 和2022-2023年3月 (WEST-P) 的分组紧急情况和患者流量数据.
- 包括所有被医生选和评估的患者,确保在研究期间患者流入和人员配置水平相似.
主要成果:
- 与RETTS-p (30%的高度紧迫性) 相比,WEST-P系统 (21%的高度紧迫性) 显示出较少的过量选.
- 在红色 (4分钟) 和色 (18分钟) 紧急病例中,WEST-P的中位时间显著缩短.
- 对于所有患者来说,与RETTS-p相比,WEST-P的入院时间中位数减少了23分钟.
结论:
- 减少过量选,正如WEST-P系统所示,可以减少重症儿科患者到医生的时间.
- 实施尽量减少过量分拣的分拣系统可以导致患者在PED的总体停留时间缩短.
- 优化分类系统对于改善儿科急诊护理患者流动和安全至关重要.
相关概念视频
Pharmacokinetics in Pediatric Patients: Drug Excretion
261
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
261
Pharmacokinetics in Pediatric Patients: Drug Distribution
307
Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
307
Pharmacokinetics in Pediatric Patients: Drug Metabolism
227
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
227
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
298
Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
298
Emerging Adulthood
686
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...
686
Increasing Function
394
An increasing function exhibits a rise in output values as input values increase. This behavior is depicted graphically as a curve or line that slopes upward from left to right. Such a function satisfies the condition that if x1 < x2, then f(x1) < f(x2), indicating that the function values grow with increasing inputs. This concept is fundamental in understanding growth trends across various domains, such as population dynamics, financial investments, or resource consumption.The...
394


