摘要
急诊室过度拥挤是近二十年全球医院普遍面临的难题，其核心问题是急诊患者不合理地滞留于急诊室。医院床位长期利用率高，床位不足是关键原因。此外，急诊就诊量的增加，急诊室内检查量增多等也是重要原因。患者在急诊室内的滞留时间延长，预后将变差。缓解过度拥挤的对策主要集中在合理利用现有的医疗资源，适当增加医院床位，调整住院患者的出院模式等方面。但直到目前为止，仍然没有有效的缓解措施。急诊室过度拥挤问题还需进一步的研究。
Emergency department （ED） overcrowding has been an increasing worldwide crisis for more than 20 years. The core of ED overcrowding is prolonged length of stay in ED. The most highlighted reasons for ED overcrowding are high hospital occupy rate and no available inpatient beds. Also, the increasing ED presentation and tests in ED are important factors associated with overcrowding. Prolonged ED length of stay is associated with poor outcomes of emergency patients. The strategies are main focus on improving bed management, expanding inpatient beds, including full -capacity protocol, and improving inpatient discharge time and so on. However, hitherto there are no efficient strategy could solve ED overcrowding and it deserve further study.
出处
《中国急救医学》
CAS
CSCD
北大核心
2012年第8期732-736,共5页
Chinese Journal of Critical Care Medicine
关键词
急诊室(ED)
拥挤
现状
对策
Emergency department
Overcrowding
Situation
Strategy
