对急诊病房的批判性分析。
Critical analysis of an accident and emergency ward.
作者信息
Rainer T H, Swann I J, Crawford R
机构信息
Glasgow Royal Infirmary, UK.
出版信息
J Accid Emerg Med. 1996 Sep;13(5):325-9. doi: 10.1136/emj.13.5.325.
OBJECTIVES
To describe the work, both qualitatively and quantitatively, of an accident and emergency (A&E) ward, and discuss some of the advantages and disadvantages associated with this ward.
METHODS
An observational study was carried out of all patients admitted to the A&E ward of Glasgow Royal Infirmary from 1 January 1992 to 31 December 1992. Epidemiological and management data were collected for all patients admitted.
RESULTS
There were 2460 admissions, of which 69% were related to trauma and 45% to head injury; 47% of the patients had consumed alcohol before admission. Accidental trauma was the commonest reason for admission (57%), followed by assault (33%). Ninety two per cent of admissions stayed for less than 3 d, but 33% of the workload was spent on a small number of patients admitted for longer than 7 d.
CONCLUSIONS
This A&E ward presents a significant workload, and some of its most serious problems lie with those patients who stay longer than 72 h. The safe and effective use of the ward depends upon it being well resourced, along with the department it serves.
目的
从定性和定量两方面描述一家急诊病房的工作，并探讨与该病房相关的一些优缺点。
方法
对1992年1月1日至1992年12月31日入住格拉斯哥皇家医院急诊病房的所有患者进行了一项观察性研究。收集了所有入院患者的流行病学和管理数据。
结果
共收治2460例患者，其中69%与创伤有关，45%与头部损伤有关；47%的患者在入院前饮酒。意外创伤是入院最常见的原因（57%），其次是袭击（33%）。92%的患者住院时间少于3天，但33%的工作量花在了少数住院超过7天的患者身上。
结论
该急诊病房工作量很大，其一些最严重的问题在于那些住院超过72小时的患者。该病房的安全有效使用取决于其资源充足，以及其所服务的科室。
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