Department of Emergency Medic-ine (Dr Martin), Pediatric Emergency Nursing (Ms Noble), and Emergency Nursing (Ms Wilmarth), Univer-sity of Rochester Medical Center, Rochester, New York.
Adv Emerg Nurs J. 2021;43(2):162-169. doi: 10.1097/TME.0000000000000351.
Increased utilization of the emergency department (ED) for low acuity concerns saturates EDs, leading to overcrowding. As the ED becomes crowded, the quality of care threatens patient safety and increases length of stay. To improve the efficiency of evaluation and discharge of low acuity patients in the pediatric ED, a performance improvement project was implemented to develop a Fast Track. An interdisciplinary team developed the process of Fast Track, as well as guidelines for low acuity patients who would be evaluated in the designated area by an advanced practice provider and registered nurse team. Within 14 months of operating, length of stay of low acuity patients triaged an emergency severity illness score of 4 or 5 dropped 36% (from 144 to 92 min). Pediatric patients who present to the ED with low acuity concerns can be effectively and efficiently cared for in a timely fashion in a pediatric ED Fast Track.
由于对低 acuity 问题的大量利用，急诊部（ED）人满为患，导致过度拥挤。随着 ED 的拥挤，护理质量威胁到患者的安全并延长了住院时间。为了提高儿科 ED 中低 acuity 患者的评估和出院效率，实施了一项绩效改进项目以开发快速通道。一个跨学科团队制定了快速通道的流程，以及针对在指定区域由高级实践提供者和注册护士团队进行评估的低 acuity 患者的指南。在运营 14 个月内，紧急严重程度评分 4 或 5 的低 acuity 患者的住院时间减少了 36%（从 144 分钟降至 92 分钟）。在儿科 ED 快速通道中，患有低 acuity 疾病的儿科患者可以得到及时有效的治疗。
