团队分诊方法对急诊科绩效指标的影响:一项准介入研究

Pub Date : 2023-01-01 DOI:10.4103/ijabmr.ijabmr_614_22
Zhila Yousefi, Hossein Feizollahzadeh, Kavous Shahsavarinia, Esmail Khodadadi
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引用次数: 0

摘要

简介:在急诊科(ED)患者分诊的有效方法之一是使用团队分诊,包括医生和护士。鉴于团队分诊的有效性尚无确凿证据,本研究旨在探讨团队分诊方法对急诊科绩效指标的影响。方法:本研究是一项准介入研究,对大不里士市各医院2020年转介到急诊科的200例患者进行研究。参与者被随机分为两组(团队分诊和常规分诊)并进行评估。数据收集采用三部分调查问卷,包括参与者的人口统计学特征,五级分流表和Press-Ganey满意度问卷。数据采用SPSS.22统计软件进行分析。结果:小组分诊的首次就诊等待时间平均得分低于常规分诊(P = 0.001)。此外,团队分诊的首次治疗等待时间平均得分低于常规分诊(P = 0.001)。最后,团队分诊和常规分诊的满意度平均得分均高于团队分诊,差异有统计学意义(P = 0.001)。结论:与传统分诊方法相比,团队分诊方法减少了首次服务的等待时间和住院时间,但提高了患者的满意度。因此,为了提高急诊科的绩效指标,建议医院管理者采用团队分诊方法。
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The Impact of Team Triage Method on Emergency Department Performance Indexes: A quasi-interventional study
Introduction: One of the effective methods of patient triage in the emergency department (ED) is the use of team triage, including physicians and nurses. Considering that there is no conclusive evidence about the effectiveness of team triage, this study aimed to investigate the effect of the team triage method on ED performance indexes. Methods: The present study is a quasi-interventional study in which 200 patients were referred to the ED in the hospitals of Tabriz in 2020. Participants were randomly assigned to two groups (team triage and conventional triage) and were evaluated. Data were collected by a three-part questionnaire including the participants’ demographic characteristics, the five-level triage form, and Press-Ganey satisfaction questionnaire were used. Data were analyzed by SPSS.22 statistical software. Results: The results showed that the mean score of waiting time for the first physician visit in team triage was statistically significantly lower than the conventional triage ( P = 0.001). Furthermore, the mean score of waiting time for receiving the first treatment in team triage was statistically significantly lower than the conventional triage ( P = 0.001). Finally, the mean score of patients’ satisfaction in team and conventional triage was statistically significantly higher in team triage ( P = 0.001). Conclusion: The study findings revealed that the team triage method, in comparison to conventional triage, decrease the waiting time for receiving the first service and length of stay, but leads to more patient’s satisfaction. Therefore, to improve the performance indicators of the ED, it is recommended that hospital managers use the team triage method.
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