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医院工作人员对急诊部的使用情况。

Use of an accident and emergency department by hospital staff.

作者信息

Mann C J

机构信息

Department of Accident and Emergency Medicine, Plymouth, Devon, United Kingdom.

出版信息

J Accid Emerg Med. 1996 Nov;13(6):409-11. doi: 10.1136/emj.13.6.409.

Abstract

OBJECTIVE

To assess the number of attendances by hospital staff at an accident and emergency (A&E) department, and reasons for their attendance.

METHODS

A&E attendances by hospital staff were studied for a 12 month period. Comparison was made with attendances by non-hospital staff in full or part time employment. Differences between the observed and expected numbers of attendances were analysed using chi 2 analysis.

RESULTS

560 staff attendances were recorded out of 78,103 total attendances. There was an observed excess number of attendances by nursing staff for work related incidents when compared to the control group (P = 0.01). However, there were fewer attendances by nursing staff for non-work related incidents (P = 0.01). Staff other than doctors and nurses attended the A&E department more frequently than the control group for non-work related incidents (P = 0.01), but their attendance for incidents occurring at work were the same as the control group (P = NS).

CONCLUSIONS

The increased use of A&E resources by staff other than doctors and nurses may be inappropriate and further research into their reasons for attendance is warranted.

摘要

目的

评估医院工作人员前往急诊部就诊的次数及其就诊原因。

方法

对医院工作人员在12个月期间前往急诊部就诊的情况进行研究。并与全职或兼职非医院工作人员的就诊情况进行比较。使用卡方分析对观察到的就诊次数与预期就诊次数之间的差异进行分析。

结果

在总共78103次就诊中,记录到工作人员就诊560次。与对照组相比,观察到护理人员因工作相关事件就诊的次数过多(P = 0.01)。然而,护理人员因非工作相关事件就诊的次数较少(P = 0.01)。医生和护士以外的工作人员因非工作相关事件前往急诊部就诊的频率高于对照组(P = 0.01),但他们因工作中发生的事件就诊的情况与对照组相同(P = 无显著差异)。

结论

医生和护士以外的工作人员对急诊资源的使用增加可能并不恰当,有必要对他们的就诊原因进行进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b90e/1342811/02a14fad868a/jaccidem00015-0042-a.jpg

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