Alcaraz-Martínez J, Lorenzo-Martínez S, Fariñas-Álvarez C, Fernández-González B, Calvo-Pardo A, González-Pérez M, Morado F
Hospital Universitario Morales Meseguer, Murcia, España.
Rev Calid Asist. 2011 Sep-Oct;26(5):285-91. doi: 10.1016/j.cali.2011.04.001. Epub 2011 Jun 23.
To identify and to share the results among hospitals regarding the process of attention at the Emergency Unit, and to detect the practices that explain the differences.
7 hospitals of different regions in Spain.
2005-2007. Firstly the comparability criteria were defined assuring the homotecia in the «emergency process». In order to fulfil the study objectives, 11 criteria were selected and every center sent the information of each one. 7 indicators were identified to compare hospitals processes'. Data regarding all the attentions provided during the study period was analyzed, establishing the benchmark among the centers. Finally, a questionnaire was elaborated for the process analysis, considering all the stages of the process, the resources and the procedures used in every stage, to be fulfilled in each hospital.
The homotecia has been verified in the 7 hospitals, with some differences between centers. 7 indicators have been analyzed in the different hospitals, corresponding to 1,526,890 patients attended in the study period. A benchmark has been identified, with the best results in four of seven indicators: % of admissions from urgencies: 8.3%, emergency pressure: 56.14%, emergency length of stay: 2 hs 20min, and % of patients with length stay > 24h: 0.05%. Differences between the stages of the process, resources and procedures used in every stage in the benchmark center have been analyzed.
A set of indicators to compare Emergency Departments has been identified, letting us establish the benchmark.
识别并在各医院间分享急诊科的诊疗过程结果，检测能解释差异的诊疗行为。
西班牙不同地区的7家医院。
2005 - 2007年。首先定义可比性标准，以确保“急诊流程”的一致性。为实现研究目标，选取了11项标准，每个中心发送各项标准的信息。确定了7项指标以比较医院的诊疗流程。分析了研究期间所有诊疗服务的数据，在各中心之间建立了基准。最后，针对流程分析编制了一份问卷，考虑了流程的各个阶段、每个阶段使用的资源和程序，供各医院填写。
已验证7家医院的一致性，但各中心之间存在一些差异。对不同医院的7项指标进行了分析，对应研究期间诊治的1,526,890名患者。确定了一个基准，在7项指标中的4项取得了最佳结果：急诊入院率：8.3%，急诊压力：56.14%，急诊住院时长：2小时20分钟，住院时长>24小时的患者比例：0.05%。分析了基准中心在流程各阶段、每个阶段使用的资源和程序之间的差异。
已确定一组用于比较急诊科的指标，使我们能够建立基准。
