NHMRC Clinical Trials Centre, University of Sydney, 92–94 Parramatta Road, Camperdown,NSW 1450, Australia.
Emerg Med Australas. 2011 Feb;23(1):84-94. doi: 10.1111/j.1742-6723.2010.01378.x.
The present study looks at what the literature can tell us about examples of innovative ED staffing. Numerous medical databases, journals specific to emergency care, and key government agency sites were searched to obtain Australian and relevant international literature between 1995 and the present. Studies which discussed appropriate staffing arrangements in the EDs were assessed with preference given to those which gathered evidence about the staff mix. There is little literature available which looks at the entire staffing profile of an ED and assesses its effectiveness. The few papers that do exist conclude that senior staffing, matching peak staffing levels with peak patient demand, having appropriately skilled staff mixes and designing the staff profile based upon individual hospital needs produces the most effective outcomes. Although there are some lessons to be learnt from the success of the staffing of various teams, and the introduction of new roles in the EDs, there are still significant gaps within the literature. There is a need for assessment of the effectiveness of various ED-wide staffing profiles (rather than just individual teams within an ED).
本研究着眼于文献能告诉我们哪些关于创新 ED 人员配置的例子。从 1995 年至今，我们搜索了众多医学数据库、专门针对急诊护理的期刊以及主要政府机构网站，以获取澳大利亚和相关国际文献。我们评估了那些讨论 ED 中适当人员配置安排的研究，并优先考虑那些收集有关员工组合证据的研究。很少有文献关注 ED 的整个人员配置概况并评估其效果。为数不多的几篇论文得出的结论是，高级人员配置、将人员配置高峰与患者需求高峰相匹配、拥有适当技能的人员组合以及根据个别医院的需求设计人员配置，可产生最有效的结果。尽管从各种团队的人员配置成功以及 ED 中引入新角色中可以吸取一些经验教训，但文献中仍存在重大差距。需要评估各种 ED 范围的人员配置概况（而不仅仅是 ED 内的个别团队）的效果。
