紧急部门拥挤的临床和运营影响:系统审查
Anas E Ahmed1, Abdulrahman A Aqeel2, Mohammed Y Ghazwani3
1Community Medicine, Jazan University, Jazan, SAU.
Cureus
|February 2, 2026
概括
紧急部门 (ED) 拥挤会对患者护理产生负面影响,导致延误和质量下降. 解决这一问题需要制定战略,以改善患者流动和确保及时提供紧急服务的能力.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理健康管理
- 公共卫生 公共卫生
背景情况:
- 紧急部门 (ED) 拥挤是一个全球问题,源于容量需求不匹配.
- 它与护理延迟,服务质量下降和患者不良结果有关.
- 了解其对患者护理和系统性能的影响至关重要.
研究的目的:
- 综合关于ED拥挤对患者结果和护理过程的影响的证据.
- 评估ED拥挤对医疗保健系统绩效的影响.
- 确定战略干预的领域.
主要方法:
- 对13项观察性研究进行了系统审查.
- 分析对死亡率,护理及时性,停留时间,再录取,错误和员工影响的影响.
- 评估运营压力和资源利用情况.
主要成果:
- ED拥挤总是导致临床过程延迟 (例如,止痛药,抗生素,中风/败血症护理).
- 观察到ED增加和住院时间长,住院并发症增加,诊断延迟.
- 死亡率的关联是不一致的;运营压力和资源利用率都增加了.
结论:
- 紧急救护人员拥挤会对急救护理的及时性和质量产生不利影响.
- 它有助于更广泛的医疗保健系统效率低下.
- 改善患者流动,床位容量和减少登机的策略至关重要.
关键词:
登机服务 登机服务护理延迟,延迟的时间.临床过程中的临床过程.紧急护理 紧急护理紧急情况部门拥挤拥挤医疗保健系统的绩效表现停留时间的长度.运营效率 运营效率 运营效率 运营效率 运营效率患者的治疗结果.系统性审查 系统性审查更多相关视频
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