Department of Emergency Medicine, University of North Carolina, Chapel Hill, NC, USA.
Acad Emerg Med. 2010 Dec;17(12):e154-60. doi: 10.1111/j.1553-2712.2010.00931.x.
This article is drawn from a report created for the American College of Emergency Physicians (ACEP) Emergency Department (ED) Categorization Task Force and also reflects the proceedings of a breakout session, "Beyond ED Categorization-Matching Networks to Patient Needs," at the 2010 Academic Emergency Medicine consensus conference, "Beyond Regionalization: Integrated Networks of Emergency Care." The authors describe a brief history of the significant national and state efforts at categorization and suggest reasons why many of these efforts failed to persevere or gain wider implementation. The history of efforts to categorize hospital (and ED) emergency services demonstrates recognition of the potential benefits of categorization, but reflects repeated failures to implement full categorization systems or limited excursions into categorization through licensing of EDs or designation of receiving and referral facilities. An understanding of the history of hospital and ED categorization could better inform current efforts to develop categorization schemes and processes.
这篇文章源自为美国急诊医师学院（ACEP）急诊分类工作组编写的一份报告，也反映了 2010 年学术急诊医学共识会议“超越区域化：急诊护理综合网络”的“超越急诊分类——将网络与患者需求相匹配”分组讨论会上的一些讨论。作者简要介绍了在分类方面的国家和州的重要努力，并提出了许多此类努力未能持续或广泛实施的原因。对医院（和急诊室）急诊服务进行分类的历史表明人们认识到分类的潜在好处，但反映出在实施全面分类系统方面反复失败，或者仅通过急诊室许可或指定接收和转介机构进行分类的尝试有限。了解医院和急诊室分类的历史可以为当前制定分类方案和流程提供更好的信息。
