一种新型临床护理辅助模式对患者流程及急诊科住院时间的评估。
Evaluation of a Novel Clinical Assistant Model of Care on Patient Flow and Emergency Department Length of Stay.
作者信息
Chou Jeremy, Gupta Namankit, Lim Alvin, Bryan Josh, Walker Katie, Egerton-Warburton Diana, Kim-Blackmore Jeniffer, Rosler Rachel, Lim Andy
机构信息
Melbourne Medical School, University of Melbourne, Parkville, Victoria, Australia.
School of Clinical Sciences at Monash Health, Monash University, Clayton, Victoria, Australia.
出版信息
Emerg Med Australas. 2025 Jun;37(3):e70070. doi: 10.1111/1742-6723.70070.
OBJECTIVE
To measure the contribution of clinical assistants (CAs) to departmental flow and length of stay.
METHODS
An observational study comparing key performance indicators (KPIs) between shifts with and without assistants.
RESULTS
A total of 122 shifts were included from 1 November to 31 December 2021. There was no difference in the proportion of patients who were seen by a doctor within 1 h, ambulance offload times, or 4-h departure metrics (regardless of non-admitted, admitted, or short stay status).
CONCLUSION
CAs do not have a demonstrable impact on ambulance offload times, cubicle availability, or 4-h KPIs.
目的
评估临床助理（CAs）对科室流程和住院时间的贡献。
方法
一项观察性研究，比较有助理和无助理班次之间的关键绩效指标（KPIs）。
结果
纳入了2021年11月1日至12月31日期间的122个班次。在1小时内见到医生的患者比例、救护车卸载时间或4小时出院指标（无论未入院、已入院或短期住院状态）方面没有差异。
结论
临床助理对救护车卸载时间、病房可用性或4小时关键绩效指标没有明显影响。
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