Division of Substance Abuse, Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004, USA.
Emergency Medicine Service Line, Northwell Health, 1981 Marcus Avenue, Suite 214, New Hyde Park, NY 11042, USA.
Child Adolesc Psychiatr Clin N Am. 2018 Jul;27(3):427-439. doi: 10.1016/j.chc.2018.03.005. Epub 2018 Apr 19.
Pediatric emergency visits for behavioral health complaints have been increasing for more than a decade. There are currently no best practices or ideal models of care. However, the evidence base for existing emergency department operational concepts can be used to implement modifications to workflow, care model, staffing, and physical environment to address patient needs. Rapid assessment, split flow, blended care model, multidisciplinary team development, mental health nursing triage, and staff training can all positively affect length of stay, staff safety, and patient satisfaction.
儿科因行为健康问题的急诊就诊量在过去十年中一直在增加。目前尚无最佳实践或理想的护理模式。然而,可以利用现有急诊部门运作概念的证据基础,对工作流程、护理模式、人员配备和物理环境进行修改,以满足患者的需求。快速评估、分流、混合护理模式、多学科团队的发展、精神科护理分诊和员工培训都可以对住院时间、员工安全和患者满意度产生积极影响。