DiGiacomo E V, Kramer L D
QRB Qual Rev Bull. 1982 Nov;8(11):10-3.
Administrators at Mercy Hospital in Springfield, Massachusetts, studied the effects of daily patient number and arrival rate on waiting time in the Emergency Unit. These two factors were found to have a smaller impact on waiting times than might be expected. Several issues relating to staffing and to patients' illnesses were addressed to reduce visit lengths (ie, inadequate number of admitting registrars, inefficient use of staff, insufficient locations for the rapid treatment of patients requiring suturing, and large numbers of ancillary services requested on a stat basis). Subsequent studies showed that changes instituted as a result of the initial study had reduced overall emergency waiting time by 12%, even though average daily census had increased by 17%.
马萨诸塞州斯普林菲尔德市慈悲医院的管理人员研究了每日患者数量和到达率对急诊科候诊时间的影响。结果发现，这两个因素对候诊时间的影响比预期的要小。针对人员配备和患者病情等几个问题采取了措施，以缩短就诊时间（即入院登记员数量不足、工作人员使用效率低下、快速治疗需要缝合的患者的地点不足，以及大量紧急要求的辅助服务）。后续研究表明，尽管日均普查人数增加了17%，但最初研究导致的改变使整体急诊候诊时间缩短了12%。
