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衡量与改善急诊科绩效的策略:一项综述

Strategies to Measure and Improve Emergency Department Performance: A Review.

作者信息

Mostafa Reham, El-Atawi Khaled

机构信息

Department of Emergency Medicine, Al Zahra Hospital Dubai (AZHD), Dubai, ARE.

Pediatrics/ Neonatal Intensive Care Unit, Latifa Women and Children Hospital, Dubai, ARE.

出版信息

Cureus. 2024 Jan 24;16(1):e52879. doi: 10.7759/cureus.52879. eCollection 2024 Jan.

Abstract

Emergency Departments (EDs) globally face escalating challenges such as overcrowding, resource limitations, and increased patient demand. This study aims to identify and analyze strategies to enhance the structural performance of EDs, with a focus on reducing overcrowding, optimizing resource allocation, and improving patient outcomes. Through a comprehensive review of the literature and observational studies, the research highlights the effectiveness of various approaches, including triage optimization, dynamic staffing, technological integration, and strategic resource management. Key findings indicate that tailored strategies, such as implementing advanced triage protocols and leveraging telemedicine, can significantly reduce wait times and enhance patient throughput. Furthermore, evidence suggests that dynamic staffing models and the integration of cutting-edge diagnostic tools contribute to operational efficiency and improved quality of care. These strategies, when combined, offer a multifaceted solution to the complex challenges faced by EDs, promising better patient care and satisfaction. The study underscores the need for a comprehensive approach, incorporating both organizational and technological innovations, to address the evolving needs of emergency healthcare.

摘要

全球范围内的急诊科面临着日益严峻的挑战,如过度拥挤、资源限制和患者需求增加。本研究旨在识别和分析提高急诊科结构性能的策略,重点是减少过度拥挤、优化资源分配和改善患者结局。通过对文献和观察性研究的全面回顾,该研究突出了各种方法的有效性,包括分诊优化、动态人员配置、技术整合和战略资源管理。主要研究结果表明,诸如实施先进的分诊方案和利用远程医疗等量身定制的策略,可以显著减少等待时间并提高患者流量。此外,有证据表明,动态人员配置模式和前沿诊断工具的整合有助于提高运营效率和改善护理质量。这些策略结合起来,为急诊科面临的复杂挑战提供了多方面的解决方案,有望带来更好的患者护理和满意度。该研究强调需要一种综合方法,将组织创新和技术创新结合起来,以满足急诊医疗不断变化的需求。

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