查詢結果分析
相關文獻
- 急診病患自動出院之比率、原因及相關因素
- 未完成就醫程序提早離開急診之病患
- 急診病患未完成診療程序即自行提早離院之原因探討及分析
- 未完成急診就醫程序病人再探
- 某區域醫院非病危性自動出院病患之關懷初探
- 急診病患不遵醫囑自動出院之法律關係與醫學倫理爭議
- Emergency Medical Resource Use in Taipei City
- A Review of Ocular Emergencies in a Taiwanese Medical Center
- Shock in the Pediatric Emergency Service: Five Years' Experience
- 急診單位之感染管制
頁籤選單縮合
題名 | 急診病患自動出院之比率、原因及相關因素=Leaving Hospital Against Medical Advice at an Emergency Department |
---|---|
作者姓名(中文) | 江旺財; 廖訓禎; 胡百敏; 廖浩欽; 陳日昌; 詹逸凌; | 書刊名 | 中華民國急診醫學會醫誌 |
卷期 | 4:1 2002.03[民91.03] |
頁次 | 頁7-13 |
分類號 | 419.39 |
關鍵詞 | 自動出院; 急診; Discharge against medical advice; Emergency department; |
語文 | 中文(Chinese) |
中文摘要 | 目的:了解急診非創傷成人病患辦理自動出院之比率,探應其原因及可能的相關因素。 方法:自民國87年8月22日至9月22日於桃園某醫學中心急診現場,收集自動出院病人的資料,資料收集內容包括自動出院的原因、檢傷級數、年齡、性別、省籍要居住區域、留置急診時間及疾病類別等。 結果:共有182位自動出院病患,佔所有急診非創傷成人病患的2.8%,平均年齡為53.2±19.4歲,男性佔60.4%。病人自動出院的原因分別為拒絕治療(63.7%)、病危(22.5%)轉院(18.3%)及無床(5.5%)。年級愈大、居住地愈遠、留置急診時間愈久則自動出院比率愈高(p<0.05)。 結論:本研究建議(1)良好的檢傷人員可使病患在規定時間內完成診療;(2)詳細解說病況及療程以降低病患的不安與焦慮;(3)留置病人應盡可能完成相關之治療與檢查;(4)完善的自動出院計劃與服務。 |
英文摘要 | Objective:This study examines discharges against medical advice (AMA) of non-trauma adult patients from an emergency department (ED) to order to determine the reasons for discharge and any related factors. Methods:An analysis of AMA patients, who presented at an emergency department of a medical center located in the Tao-yuan county over an 1-monthe period, was undertaken. The data collected including the demographic data, disease pattern and reason(s) given for discharge. The reasons were divided into refusal of treatment, bed unavailable, transfer to another hospital AMA discharge by critically ill patients. Results:There were 182 AMA patients with a mean age of 53.2±19.4 years who presented within the study period and this made up about 2.8% of all non-truama adult emergency patients. Among them, 60.4% were male. The reasons give for AMA were: rejection treatment (63.7%): the patient was critical ill (22.5%): the patient transferred to other hospital (18.3%) and the lack of hospital bed (5.5%). The elderly, those who lived a long distance form the hospital and those with a longer wait in the ED, all showed a higher AMA discharge rate. Conclusion:This study suggests firstly, that EDs require well-training triage staff so that service to patients is supplied as soon as possible. Secondly, ED staff need to pay more attention to patients emotional needs and should explained in detail the treatment procures to that patients’ anxiety is reduced. Thirdly, the staff should do their best to provide examinations and treatments that do not prolong the patients’ stay in the ED. Finally, there is a need to set up a complete service plan for discharge against medical advice patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。