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一个儿科日间病房:第一年的经验

A paediatric day unit: the first year's experience.

作者信息

Dawson K P, Mogridge N, Abbott G D

机构信息

Department of Paediatrics, Christchurch School of Medicine.

出版信息

N Z Med J. 1991 May 8;104(911):185-7.

PMID:2027608
Abstract

In June 1989 a day unit was introduced into the paediatric department of Christchurch Hospital. Over the subsequent year, 1308 admissions occurred to the unit. Five hundred and thirty (40.6%) of the children were discharged home on the day of referral, only 22 (4%), were readmitted to the inpatient facility within a week of their first assessment. The common conditions dealt with were asthma and acute respiratory tract infection and the pattern generally reflected that normally seen in the inpatient wards. The average stay in the day unit was four hours thirty minutes. The day unit has proved to be effective in reducing overnight inpatient admissions but it requires a higher staff ratio than allocated to ensure rapid and efficient turnover. Utilisation on the weekends and wider use by other specialities dealing with children would increase the units effectiveness further.

摘要

1989年6月,克赖斯特彻奇医院儿科设立了日间病房。在随后的一年里,该病房收治了1308名患儿。其中530名(40.6%)儿童在转诊当天出院,仅有22名(4%)在首次评估后的一周内再次入住住院设施。所处理的常见病症为哮喘和急性呼吸道感染,其模式总体上反映了住院病房中常见的情况。患儿在日间病房的平均停留时间为4小时30分钟。事实证明,日间病房在减少夜间住院人数方面是有效的,但它需要比分配的更高的 staff ratio(此处原文有误,可能是“staff - patient ratio”即医护患比) 以确保快速高效的周转。周末的利用率以及其他儿童专科的更广泛使用将进一步提高该病房的效率。

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