Whatley Shawn D, Leung Alexander K, Duic Marko
Author of No More Lethal Waits - 10 Steps to Transform Canada's Emergency Departments, BPS Books, Toronto, 2016. He served as physician leader (aka medical program director) of the Emergency Medicine Program at Southlake Regional until 2014. Shawn is a lecturer in the Department of Family and Community Medicine, University of Toronto, and assistant clinical professor (adjunct) in the Department of Family Medicine, McMaster University.
Resident in Family Medicine at Queen's University. He is interested in pursuing a career in emergency medicine. He has research interests in emergency department operations, and improving access to primary care.
Healthc Q. 2016;19(1):29-35. doi: 10.12927/hcq.2016.24612.
Emergency departments (ED) function to diagnose, stabilize, manage and dispose patients as efficiently as possible. Although problems may be suspected at triage, ED physician input is required at each step of the patient journey through the ED, from diagnosis to disposition. If we want timely diagnosis, appropriate treatment and great outcomes, then ED processes should connect patients and physicians as quickly as possible. This article discusses the key concepts of ED patient flow, value and efficiency. Based on these fundamentals, it describes the significant impact of ED process improvements implemented on measures of ED efficiency at a large community ED in Ontario, Canada.
急诊科的职能是尽可能高效地对患者进行诊断、稳定病情、管理和处置。尽管在分诊时可能会怀疑存在问题，但在患者从诊断到处置在急诊科的整个就诊过程中的每一步，都需要急诊科医生的参与。如果我们希望实现及时诊断、恰当治疗和良好预后，那么急诊科的流程应尽快将患者与医生联系起来。本文讨论了急诊科患者流程、价值和效率的关键概念。基于这些基本原理，本文描述了在加拿大安大略省一家大型社区急诊科实施的急诊科流程改进对急诊科效率指标产生的重大影响。
