El-Mallakh Rif S, Whiteley Amanda, Wozniak Tanya, Ashby McCray, Brown Shawn, Colbert-Trowel Danya, Pennington Tammy, Thompson Michael, Tasnin Rokeya, Terrell Christina L
Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Ann Clin Psychiatry. 2012 May;24(2):140-2.
Emergency department crowding is a growing problem that impacts patient care and safety. The effect of crowding has not been examined in emergency psychiatric services.
The association between patient census and use of restraints, seclusion, and anti-agitation medications as needed was examined for 1 month.
A total of 689 patients were seen in 31 days. The average hourly census was 6.8 ± 2.8 (range 0 to 18). There were 33 incidences of seclusion or restraint and an additional 15 instances of medications administered for agitation. The use of seclusion, restraint, or medication for agitation was significantly associated with census (r2 = 0.3, F = 5.47, P = .036).
Crowding in emergency psychiatric waiting rooms may increase the need for seclusion, restraint, or medications for agitation.
急诊科拥挤是一个日益严重的问题，影响患者护理和安全。尚未对急诊精神科服务中拥挤的影响进行研究。
对1个月内患者人数与按需使用约束、隔离和抗激动药物之间的关联进行了研究。
31天内共诊治689例患者。平均每小时患者人数为6.8±2.8（范围为0至18）。有33次隔离或约束事件，另有15次因激动而使用药物的情况。因激动而使用隔离、约束或药物与患者人数显著相关（r2 = 0.3，F = 5.47，P = 0.036）。
急诊精神科候诊室的拥挤可能会增加对隔离、约束或抗激动药物的需求。
