Skowron N, Wilke P, Bernhard M, Hegerl U, Gries A
Zentrale Notaufnahme, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.
Abteilung für Notfallmedizin, Havelland Kliniken GmbH, Nauen, Deutschland.
Anaesthesist. 2019 Nov;68(11):762-769. doi: 10.1007/s00101-019-00686-5.
Apart from operating theaters, intensive care units and diagnostic services, the central emergency department is one of the areas of any hospital with a high workload, which is very susceptible to risk. The following aspects of routine daily work can lead to a great strain on the personnel working in the central emergency department: the need for quick, targeted decisions, especially for patients with life-threatening disorders, a high number of patients with insufficient available resources, dissatisfaction of patients with low treatment priority and longer waiting times and delayed inpatient admissions with long stays. Interruptions in the individual work process during activities are not uncommon but represent additional disruptive factors for employees and can lead to treatment errors. Furthermore, a workload that is permanently perceived as too high leads to psychological and physical disturbances for the team members. Suitable structural, organizational and personnel prerequisites as well as solution strategies for the central emergency department are necessary to avoid corresponding treatment errors and also as a duty of care for employees.
除了手术室、重症监护病房和诊断服务部门外,中央急诊科是任何医院工作量较大的区域之一,极易面临风险。中央急诊科日常工作的以下方面会给工作人员带来极大压力:需要迅速做出有针对性的决策,尤其是针对患有危及生命疾病的患者;患者数量众多但可用资源不足;治疗优先级低和等待时间较长的患者不满意;住院延迟且住院时间长。活动期间个人工作流程的中断并不罕见,但对员工来说是额外的干扰因素,可能导致治疗错误。此外,长期被认为过高的工作量会给团队成员带来心理和身体上的困扰。中央急诊科需要合适的结构、组织和人员条件以及解决策略,以避免相应的治疗错误,同时也是对员工的一种关怀责任。