Oakley Edward, Crellin Dianne, Barty Natalie, Braitberg George, Young Simon
Department of Emergency Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia.
Emerg Med Australas. 2004 Oct-Dec;16(5-6):417-24. doi: 10.1111/j.1742-6723.2004.00667.x.
To determine whether a partnership between a tertiary paediatric hospital and a hospital with a mixed population of children and adults can improve emergency care for children. To describe the process of creating and maintaining such a partnership.
A partnership was created and various strategies employed to improve emergency paediatric care. This was evaluated by examination of demographic data, clinical audit, patient satisfaction surveys and staff satisfaction surveys.
Paediatric attendances increased by 12% (P = 0.001), with a 33% increase in children under the age of 5 years (P = 0.001). Despite this there was a reduction of 6% in inpatient paediatric bed usage. Staff decision making and documentation improved during paediatric patient care, and parent and staff satisfaction with care of children improved.
This initiative was successful in improving local paediatric facilities and patient care and is a new and innovative means of improving paediatric emergency care.
确定一家三级儿科医院与一家收治儿童和成人的综合性医院之间的合作关系能否改善儿童急诊护理。描述建立和维持这种合作关系的过程。
建立了一种合作关系，并采用了各种策略来改善儿科急诊护理。通过检查人口统计学数据、临床审计、患者满意度调查和员工满意度调查对其进行评估。
儿科就诊人数增加了12%（P = 0.001），5岁以下儿童增加了33%（P = 0.001）。尽管如此，儿科住院病床的使用率仍下降了6%。在儿科患者护理期间，员工的决策和记录有所改善，家长和员工对儿童护理的满意度也有所提高。
该举措成功改善了当地的儿科设施和患者护理，是改善儿科急诊护理的一种新的创新方式。
