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住院患者对急诊科流程的影响。

The effect of boarders on emergency department process flow.

作者信息

Fogarty Eoin, Saunders Jean, Cummins Fergal

机构信息

Emergency Department, University of Limerick Hospital, Limerick, Ireland.

Statistical Consulting Unit/CSTAR @ UL, Faculty of Education & Health Sciences (SCU affiliated to Department of Maths & Statistics), University of Limerick, Limerick, Ireland.

出版信息

J Emerg Med. 2014 May;46(5):706-10. doi: 10.1016/j.jemermed.2013.08.111. Epub 2013 Dec 17.

Abstract

BACKGROUND

Emergency department (ED) overcrowding with boarders and waiting times are a significant concern in many countries.

OBJECTIVE

We aim to show the relationship between boarders in the ED and the percentage time to disposition in under 6 h for our ED patients.

METHOD

A review was carried out to show the percentage of patients presenting to the ED compliant with a 6-h standard per day compared to the number of attendances, the number of admissions to the hospital, and the number of boarders in the ED per day.

RESULTS

Over the 2-year study period, there was an average 0.37% fall in the ED's rate of compliance per day, with a 6-h standard for each boarder in the ED.

CONCLUSION

Boarding patients in the ED has a negative effect on compliance with our 6-h standard of time to disposition.

摘要

背景

急诊科(ED)存在住院待处理患者导致拥挤以及等待时间过长的问题,这在许多国家都是一个重大关切。

目的

我们旨在展示急诊科住院待处理患者与我们急诊科患者在6小时内得到处置的时间百分比之间的关系。

方法

进行了一项回顾性研究,以显示每天到急诊科就诊且符合6小时标准的患者百分比与就诊人数、住院人数以及急诊科每天住院待处理患者人数的对比情况。

结果

在为期两年的研究期间,急诊科每天符合6小时标准的比率平均下降0.37%,即急诊科每有一名住院待处理患者。

结论

急诊科的住院待处理患者对我们6小时处置时间标准的达标率有负面影响。

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