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在急诊科使用信息亭以提高分诊效率。

The use of kiosks to improve triage efficiency in the emergency department.

作者信息

Joseph Michael Jose, Summerscales Matthew, Yogesan Saieesha, Bell Anthony, Genevieve Michele, Kanagasingam Yogesan

机构信息

School of Medicine, University of Notre Dame, Fremantle, Australia.

St John of God Midland Public and Private Hospitals, Midland, Australia.

出版信息

NPJ Digit Med. 2023 Feb 3;6(1):19. doi: 10.1038/s41746-023-00758-2.

Abstract

Triage is a system used to prioritise patients as they enter the emergency department (ED) based on their need for urgent care. In recent decades, EDs have becoming increasingly overcrowded, leading to longer pre-triage waiting times for patients. E-triage interventions like kiosks have been proposed as a solution to overcrowding. We conducted a literature review into the effectiveness of kiosks in improving triage efficiency. After rigorously searching five biomedical databases and screening candidate articles in Endnote, we identified nine papers pertaining to the introduction of kiosks in emergency departments. Six articles had positive findings-with E-triage interventions improving some aspect of the triage process-such as reducing pre-triage times. Conversely, only three articles reported negative findings, such as low uptake. Consequently, EDs should consider introducing kiosks to complement the current nurse-led triage process and thereby promote better patient outcomes.

摘要

分诊是一种在患者进入急诊科时,根据其对紧急护理的需求对患者进行优先排序的系统。近几十年来,急诊科越来越拥挤,导致患者在分诊前的等待时间更长。诸如信息亭之类的电子分诊干预措施已被提议作为解决拥挤问题的方法。我们对信息亭在提高分诊效率方面的有效性进行了文献综述。在严格搜索五个生物医学数据库并在Endnote中筛选候选文章后,我们确定了九篇与在急诊科引入信息亭有关的论文。六篇文章有积极的发现——电子分诊干预措施改善了分诊过程的某些方面,例如缩短了分诊前时间。相反,只有三篇文章报告了负面结果,例如使用率低。因此,急诊科应考虑引入信息亭以补充当前由护士主导的分诊流程,从而改善患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc04/9898217/1d6430bea423/41746_2023_758_Fig1_HTML.jpg

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