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Why do parents use the emergency department for minor injury and illness? A cross-sectional questionnaire.为什么父母会因轻伤和小病而去急诊科？一项横断面问卷调查。
JRSM Open. 2016 Feb 12;7(3):2054270415623695. doi: 10.1177/2054270415623695. eCollection 2016 Mar.
3
The Ambulatory Care Unit at Derriford Hospital.达里福德医院的门诊护理单元。
Clin Med (Lond). 2014 Jun;14(3):250-4. doi: 10.7861/clinmedicine.14-3-250.
4
Funding is insufficient for the NHS to work at weekend as it does in the week.英国国家医疗服务体系（NHS）在周末运作时资金不足，无法像在工作日那样正常运转。
BMJ. 2013 Mar 28;346:f1854. doi: 10.1136/bmj.f1854.
5
Selecting ambulatory emergency care (AEC) patients from the medical emergency in-take: the derivation and validation of the Amb score.从急诊就诊中筛选出需要门诊紧急护理（AEC）的患者：Amb 评分的推导和验证。
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The concept, delivery and future of medical ambulatory care.门诊医疗护理的概念、提供方式及未来发展
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利用计算机模拟对德里福德医院门诊急诊护理单元的扩建需求进行建模。

Using computer simulation to model the expansion needs of the ambulatory emergency care unit at Derriford Hospital.

作者信息

Chalk Daniel

机构信息

University of Exeter Medical School, Exeter, UK.

出版信息

Future Healthc J. 2020 Feb;7(1):60-64. doi: 10.7861/fhj.2019-0017.

DOI:10.7861/fhj.2019-0017
PMID:32104768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7032578/
Abstract

Ambulatory emergency care (AEC) units can treat a wide variety of patients referred from the emergency department (ED) and acute general practitioners, helping to ease ED pressures and reduce unnecessary hospital admissions. We developed a simulation model to assess the potential benefits of expanding the size and opening times of the AEC unit at Derriford Hospital in Plymouth, both separately and in combination. The model predicted that an expanded size of AEC unit could help to improve the effectiveness of the unit, but not as much as extending the opening hours of the unit, which was predicted to result in a significant impact on the number of patients that can be seen and treated in the AEC unit. The hospital used the evidence generated by the model to support a business to case to extend opening hours of the AEC unit, and open the AEC unit at the weekend.

摘要

门诊急诊护理（AEC）单元可以治疗从急诊科（ED）和急性病全科医生处转诊的各类患者，有助于缓解急诊科压力并减少不必要的住院。我们开发了一个模拟模型，以分别和综合评估扩大普利茅斯德里福德医院AEC单元规模和开放时间的潜在益处。该模型预测，扩大AEC单元规模有助于提高其效率，但效果不如延长单元开放时间，延长开放时间预计会对AEC单元可诊治的患者数量产生重大影响。医院利用该模型产生的证据来支持一项商业论证，以延长AEC单元的开放时间，并在周末开放AEC单元。