Canty Louise, Kearney Anthony
Tallaght Hospital, Dublin, Ireland.
Emerg Nurse. 2018 Mar 9;25(10):31-34. doi: 10.7748/en.2018.e1787.
Emergency care settings in Ireland have struggled with a high volume of service users in recent years. This nationwide crisis led to the establishment of the National Emergency Medicine Programme Strategy in 2012, which identified two key performance indicators for efficiency in emergency care: the patient experience time, which should not exceed six hours from the time of registration to the time of discharge; and patients who do not wait for treatment (DNW) should make up less than 5% of those attending emergency care services. This article explores a quality initiative to improve DNW rates using scheduled return clinics, implemented by a group of advanced nurse practitioners in an emergency department in a Dublin hospital. It reviews the literature on scheduled return clinics and discusses the rationale for the initiative, its implementation, barriers to its introduction and an audit of its effectiveness.
近年来，爱尔兰的急诊护理机构一直在应对大量的服务使用者。这场全国性危机促使在2012年制定了《国家急诊医学计划战略》，该战略确定了急诊护理效率的两个关键绩效指标：患者体验时间，即从登记到出院的时间不应超过6小时；以及未等待治疗的患者（DNW）应占接受急诊护理服务患者的比例不到5%。本文探讨了一项质量改进措施，即都柏林一家医院的急诊科的一组高级执业护士通过实施定期复诊诊所来提高DNW率。它回顾了关于定期复诊诊所的文献，并讨论了该措施的基本原理、实施情况、引入的障碍以及对其有效性的审计。
