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頁籤選單縮合
題名 | 利用變動式顏色標記檢傷分級改善急診病患診時間=Acuity-Based Color Labeling of Waiting Status Decrease the Physician Waiting Time in the Emergency Department |
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作者 | 蔡蕙如; 陳明樹; 王雪嬌; 張淑娟; Tsai, Hui-ju; Chen, Ming-shu; Wang, Jeffrey Che-hung; Chang, Shu-chuan; |
期刊 | 澄清醫護管理雜誌 |
出版日期 | 20071000 |
卷期 | 3:4 2007.10[民96.10] |
頁次 | 頁52-60 |
分類號 | 419.52 |
語文 | chi |
關鍵詞 | 檢傷分類; 後診時間; 變動式警示系統; Triage categories; Physician waiting time; Dynamic labeling alarm system; |
中文摘要 | 為建立有效、安全、快速的急診病怠候診流 程,發展一個變動式槍傷分級制度,以顏色標記顯 示於急診電腦診間醫令系統上,輔助急診醫護人員 掌握未看診急診病息之按傷級數與安全等候看診情 形,提示急診醫護人員分配臨床工作的優先次序。 本專案將檢傷分級條件再細分,並設定預期最長安 全等候時間,系統依按傷護士判定之檢傷級數給予 不同顏色標記於電腦診問醫令的畫面上,若候診過 久會自動變動所標記的顏色,提醒急診醫師在合理 安全時間內看診。經過兩個月方案執行改善後的資 料發現:按傷二級病忠11吏診時間大於十五分鐘者, 從3.2%則降為1.0%'目標達成比率115%'候診時 間超過十五分鐘者,從原本11.4%降至7.1%'目標 達成比率為62.9%。特別是於較危急之檢傷二級病 息的逾時等使情形獲得大幅度的改善,進而縮短急 診病患候診時間。 |
英文摘要 | We conducted a prospective study to determine if implementation of a dynamic color labeling of a patient's waiting status can ξffectively decrease waiting time in the emergency department.We first developed a local triage system with a total of 5 levels of acuity (New triage categories 1 to 5, or N1-N5 respectively). For different time ranges of remaining time to acuiη-specific due time, we assigned corresponding background colors of the patient list on the ED information system. As time elapsed in waiting to be seen by a physician, the background color would have a dynamic change progressing from white to red, which will alert the emergency physician to see the patient without delay. Those who waited longer than 15 minutes decreased from 11.4% to 7.1%, with target accomplish rate 62.9%. The number of N2 patient who waited longer than 15 minutes decreased from 3.2% to 1.0%, with target accomplish rate 115%. We conclude that this information technology was useful in facilitating provider communications, and improved the inficiency/efficacy of emergency medicine by shortening physician-waiting time, especially for those with more critical conditions. |
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