急診觀察醫(yī)學(xué)observationmedicine-資料下載頁
2024-10-11 17:54本頁面
【導(dǎo)讀】急診留觀的必要性。如何觀察急診病人。處于疾病的早期階段，不確定因素多,變化快。危重病人在明確診斷前就要給予醫(yī)療干預(yù)。來診病人常以癥狀或體征為主導(dǎo)，而不是以。病情輕重相差大，從感冒到心跳呼吸驟停。病人和家屬對緩解癥狀和穩(wěn)定病情期望值高。急診科是醫(yī)院內(nèi)最不具有確定性和最繁忙。急診科就診病人數(shù)逐年增長。病人流量的增加是造成急診科擁擠最基本?！皳頂D”是指急診病人的需求(即等待急。急診醫(yī)學(xué)碩士和博士學(xué)位授權(quán)點(diǎn)。國家急診醫(yī)師規(guī)范化培訓(xùn)基地。急診初診區(qū)實(shí)行“紅、黃、綠”分區(qū)就診?，F(xiàn)有急診搶救床位6張，監(jiān)護(hù)床位16張，觀。綜合性大醫(yī)院的住院病人日益增多,造成床位緊張,急診病人。醫(yī)院病床越來越?？苹?病房醫(yī)師不愿意收本專。病人維權(quán)意識日益增強(qiáng),醫(yī)療風(fēng)險有增無減,尤其急診病人醫(yī)。多數(shù)醫(yī)院急診科醫(yī)師沒有權(quán)力開住院證。提高診斷的準(zhǔn)確性和病人的滿意度。醫(yī)生診斷暫時不確定，且診斷結(jié)果直。無確定的診斷試驗，涉及疾病多，且?？梢越柚R床評分系統(tǒng)協(xié)助診斷
【正文】 icine can improve patient flow by: ? providing a prehensive care model specific for patients requiring shortterm treatment or observation ? streamlining the delivery of appropriate health services to ensure more timely care delivery and thus earlier discharge ? reducing avoidable admissions (for example older patients, chest pain) ? increasing capacity to manage high ED patient volume ? actively seeking appropriate patients (?pull?) from the ED early in their episode of care ? avoiding prolonged ED stays and/or the use of multiday inpatient beds for patients requiring less than 2448 hours of care Key principles for observation medicine Patient centred Quality and safety Early access Evidencebased care Substitution Collaboration Efficiency ? Patient centred care—care is respectful of, and responsive to, individual patient preferences, needs and values, and provided in a fortable environment ? Quality and safety—systems and processes deliver quality outes and minimise risks. ? Early access—there is early access to diagnostics, specialist advice, observation and reassessment to inform rapid decisionmaking and treatment ? Evidencebased care—pathways and protocols are in place to guide the delivery of care and reduce variation ? Substitution—observation medicine units are used as an alternative to traditional ED and inpatient models of care for patients requiring an extension of ED services ? Collaboration—observation medicine units are managed in a way that improves links within the anisation (for example, between multidisciplinary clinicians and specialists) and with external stakeholders (for example, general practitioner and munity service providers) ? Efficiency—observation medicine units contribute to efficient use of resources by streamlining the care of selected patients and reducing service duplication and avoidable use of inpatient resources.
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