ED Manag. 2014 Mar;26(3):25-7.
In its latest round of report cards on the emergency care environment, the American College of Emergency Physicians (ACEP) gave the nation an overall ranking of D+, a slight decline from the rankings unveiled in 2009. Overall state-level rankings were also unveiled, as well as individual rankings for access, quality and safety, medical liability environment, public health and injury prevention, and disaster preparedness. Leaders at ACEP urge providers to use the rankings to advocate for change in their states; however, there is concern that the report cards are already being misinterpreted as being a reflection of care quality rather than the emergency care environment. * Notably, on the national report card, access to emergency care received an overall grade of D-, and it accounted for 30% of the overall grade. * Among the state-level rankings, Washington, DC, Massachusetts, Maine, and Nebraska were the top performers, earning an overall grade of B-. * At the other end of the spectrum, Wyoming received an overall grade of F, Arizona received a D-, and Montana, New Mexico, and Kentucky each received a grade of D.
在其最新一轮关于急诊护理环境的成绩单中，美国急诊医师学会（ACEP）给美国的整体排名为D+，相较于2009年公布的排名略有下降。同时还公布了各州的整体排名，以及在可及性、质量与安全、医疗责任环境、公共卫生与伤害预防、灾难准备方面的单项排名。ACEP的负责人敦促医疗服务提供者利用这些排名来推动本州的变革；然而，有人担心这些成绩单已被误解为反映了护理质量而非急诊护理环境。*值得注意的是，在全国成绩单中，急诊护理的可及性总体得分为D-，占整体分数的30%。*在各州排名中，华盛顿特区、马萨诸塞州、缅因州和内布拉斯加州表现最佳，整体得分为B-。*在另一端，怀俄明州整体得分为F，亚利桑那州得分为D-，蒙大拿州、新墨西哥州和肯塔基州均得D级。
