Page 445 - 北京京煤集团总医院第十届·2022学术年会论文集

北京京煤集团总医院 第十届·2022 学术年会论文集

急诊-病房入院患者信息共享机制改善急诊拥挤的实践研究

韩雪，闫冰*，昌彬（北京京煤集团总医院急诊科，北京 102399）

【摘要】目的：通过与专科病房建立急诊滞留病人信息沟通机制缓解急诊拥挤。方法：应用

课题达成型品管圈活动产生实施方策提高急诊与病房沟通效率。选择 2021 年 2 月-12 月份
急诊科抢救间就诊患者 10562 人，连续观察：（1）每月急诊抢救间床位饱和频次；（2）入

院患者急诊抢救间滞留时间；结果：方策实施后，2021 年 4-12 月份，前述两项指标较实施

前有显著下降 (P﹤0.05 )。结论：通过提高与病房的沟通效率活动可以减轻急诊滞留，缓解

急诊拥挤。

【关键词】急诊拥挤；急诊滞留；课题达成型品管圈

Practical study on improving Emergency Department Crowding by information

communication mechanism of Emergency Department Boarding

Han Xue,Yan Bing*, Chang Bin

Emergency Department,Beijing Jingmei Group General Hospital,No.18 HeishanDajie,Mentougou

District,Beijing,China

Objective: To reduce the overcrowding in the emergency department(ED) by establishing the

information communication mechanism with other departments for emergency department

boarding(EDB) Methods: An activity plan was developed and implemented based on qualitycontrol
circle with project achievement style during the period from February to December 2021.10562

visits were included in the analysis. The frequency of no beds available in the emergence room (ER)

and the emergency department boarding time were continuously observed per month. Results: The

two indicators were significantly reduced from April to December 2021 (P﹤0.05). Conclusion:

The length of EDB can be reduced by making communication with the ward more efficient.

Key words: Emergency Department Crowding, Emergency Department Boarding, Quality Control

Circle with Project Achievement Style

综合医院急诊拥挤是全球范围内急诊医学广泛存在的严峻问题 2-6 。在我国，三级医院急

1
诊拥挤问题更加突出。王程志等 针对性提出符合我国实际情况的急诊拥挤定义：由于急诊
科空间和人力容量不能满足急诊患者正常的就诊需求, 而导致急诊科医患之间供需失衡、患

者死亡率增加、医疗质量降低以及影响医院经济效益和社会效益等不良后果的现象。

而急诊滞留时间 5-6 （Emergency Department Boarding EDB Time），指经急诊诊疗及评

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