国家绩效表真的能表明急诊部门的绩效吗？
Do the national performance tables really indicate the performance of accident and emergency departments?
作者信息
Edhouse J A, Wardrope J
机构信息
Accident and Emergency Department, Northern General Hospital, Sheffield, UK.
出版信息
J Accid Emerg Med. 1996 Mar;13(2):123-6. doi: 10.1136/emj.13.2.123.
OBJECTIVE
To determine the current practice of nurse triage in accident and emergency departments in England, and to examine the relation between triage systems and performance in the Department of Health comparative performance guide.
DESIGN
A postal questionnaire was sent to all consultants in accident and emergency medicine in England.
RESULTS
151 responses were analysed, representing 72% of the departments seeing at least 15,000 new patients annually. Triage systems vary widely throughout departments, ranging between advanced triage, partial triage, and "eyeballing". There is no standardisation of the process or duration of triage. There appears to be no standard method of measuring the time to immediate assessment. There is no correlation between the quality of initial assessment and performance in the tables.
CONCLUSION
The national performance figures do not correlate with the quality of the initial assessment; comparisons based on these figures are therefore misleading. More effective performance indicators are available, which would provide a truer indication of the quality of accident and emergency services.
目的
确定英格兰急诊部门护士分诊的当前做法，并研究分诊系统与卫生部比较绩效指南中绩效之间的关系。
设计
向英格兰所有急诊医学顾问发送了邮政问卷。
结果
分析了151份回复，占每年接待至少15000名新患者的部门的72%。各部门的分诊系统差异很大，从高级分诊、部分分诊到“目测”不等。分诊过程或持续时间没有标准化。似乎没有测量立即评估时间的标准方法。初始评估质量与表格中的绩效之间没有相关性。
结论
国家绩效数据与初始评估质量不相关；因此，基于这些数据的比较具有误导性。有更有效的绩效指标，能更真实地反映急诊服务的质量。
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