Siemieniak Steven, Dehaan Skylar, Matlock Aaron
Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, USA.
Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Brooke Army Medical Center, Fort Sam Houston, USA.
Cureus. 2024 Jun 10;16(6):e62102. doi: 10.7759/cureus.62102. eCollection 2024 Jun.
Emergency department (ED) lengths of stay (LOS) may be unnecessarily extended by inefficient consulting processes. Delays in initiating consultations, returning calls, consultant evaluation of patients, and communication of recommendations can contribute to potentially avoidable increases in LOS. Prolonged ED LOS has been shown to increase patient morbidity and mortality and to decrease patient satisfaction. We created a standardized procedure for ED-initiated consultations, with the goal of reducing the time to initial consultant callback, time to admission, and total ED LOS. Following our intervention, time to consultant callback was decreased; however, there was no reduction in total ED LOS for admitted patients.
急诊科（ED）的住院时间（LOS）可能会因低效的会诊流程而不必要地延长。会诊启动延迟、回电延迟、会诊医生对患者的评估以及建议传达等情况，都可能导致住院时间出现潜在的可避免增加。研究表明，急诊科住院时间延长会增加患者的发病率和死亡率，并降低患者满意度。我们制定了一套由急诊科发起会诊的标准化程序，目标是缩短首次会诊医生回电时间、入院时间以及急诊科总住院时间。在我们采取干预措施后，会诊医生回电时间有所减少；然而，入院患者的急诊科总住院时间并未缩短。
