2021 NEDI-Singapore study: an updated inventory of emergency department characteristics.

Ivan Jinrong Low, En Ci Isaac Ong, Pin Pin Maeve Pek, Li Juan Joy Quah, Shu-Ling Chong, Jia Hao Lim, Krislyn M Boggs, Carlos A Jr Camargo, Venkataraman Anantharaman, Andrew Fu Wah Ho
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Abstract

Introduction: The last national emergency department (ED) inventory was performed in 2007, and major changes in population demographics, healthcare needs and infrastructure have since occurred. We sought to obtain an updated inventory of EDs in Singapore to identify and describe changes in their characteristics and capabilities across the years.

Methods: In 2021, the National Emergency Department Inventories (NEDI) instrument was administered to the leadership of Singapore EDs. Emergency departments in Singapore are opened round the clock, have no restrictions on who can access care and are equipped to handle general medical emergencies. The questionnaire comprises 16 items across three categories: (a) general characteristics, (b) patient volume and (c) medical capabilities.

Results: We achieved 100% response rate from all 17 EDs - nine EDs in public hospitals and eight in private hospitals. In 2021, the EDs saw a total of 1,140,388 visits, an increase of 27% from 2007, with the median number of visits almost doubling (from 39,450 to 77,989); 41% and 59% of the EDs reported over 20% of visits arriving by ambulance and over 20% of visits resulting in inpatient admission, respectively. A clear distinction between public and private EDs across these metrics remained. Medical capabilities grew: 59% had access to a dedicated computed tomography scanner (up from 46%) and 82% had negative pressure isolation facilities (up from 54%). Overall, 41% of EDs self-assessed to be operating above their capacity.

Conclusion: Singapore EDs have progressed in capabilities and capacity. Despite this, the increasing volume, complexity and acuity of patients are imposing strains on the emergency care system, signalling potential for systems improvement.

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2021 NEDI-新加坡研究:急诊科特点的最新清单。
导言:上一次全国急诊室(ED)清查是在 2007 年,此后人口统计、医疗保健需求和基础设施都发生了重大变化。我们试图获得新加坡急诊室的最新清单,以确定并描述这些年来急诊室的特点和能力的变化:方法:2021 年,我们对新加坡急诊室的领导层使用了国家急诊室清单(NEDI)工具。新加坡的急诊室全天候开放,对就诊者没有任何限制,并具备处理一般医疗紧急情况的能力。问卷包括三个类别的 16 个项目:(a) 一般特征、(b) 病人数量和 (c) 医疗能力:所有 17 家急诊室的回复率均为 100%,其中 9 家为公立医院急诊室,8 家为私立医院急诊室。2021 年,这些急诊室共接待了 1,140,388 人次,比 2007 年增加了 27%,中位数几乎翻了一番(从 39,450 人次增加到 77,989 人次);分别有 41% 和 59% 的急诊室报告说,超过 20% 的病人是乘坐救护车来就诊的,超过 20% 的病人是住院治疗的。在这些指标上,公立和私立急诊室仍有明显区别。医疗能力有所提高:59%的急诊室配备了专用的计算机断层扫描仪(高于 46%),82%的急诊室配备了负压隔离设施(高于 54%)。总体而言,41%的急诊室自我评估为超负荷运转:新加坡急诊室在能力和容量方面都取得了进步。结论:新加坡急诊室在能力和容量方面都有进步,尽管如此,病人数量、复杂性和严重程度的增加给急诊护理系统带来了压力,预示着系统改进的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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