Management of medical emergency patients in Danish emergency departments.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2023-08-23

Elsi Brink, Tobias Stæhr Jakobsen, Annmarie Touborg Lassen, Jesper Weile, Stefan Posth

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引用次数: 0

Abstract

Introduction: In many emergency departments (ED), specialised teams are activated to take care of medical emergency patients (MEP). The aim of this study was to describe the organisation of the management of adult MEPs in Danish EDs. The study examined trigger team activation criteria, training and composition of trigger teams.

Methods: This was a cross-sectional descriptive study. A questionnaire was sent to the head of department and head nurse at each Danish ED. They recruited eligible personnel to answer the questionnaire. Data were obtained between 1 October and 15 December 2021.

Results: We included 23 hospitals and 19 responded (82.6%). Most EDs had a trigger call for MEP (89.5%). In 70.6% of the EDs, trigger calls for MEP were activated > 300 times annually. All EDs used red triage (Danish Emergency Process Triage) as activation criteria for MEP calls. Most respondents received simulation training (82.4%). All respondents felt adequately educated to manage MEP. The MEP trigger teams varied from three to 11 members with great variation with respect to team leaders.

Conclusion: Management of MEP varies greatly in Danish Hospitals. A systematic approach to MEP management in line with management of trauma and stroke patients may potentially serve to improve the quality of care for and outcome of this patient group, but further research is needed.

Funding: None.

Trial registration: Not relevant.

本刊更多论文

丹麦急诊科急诊病人的管理。

简介:在许多急诊科(ED)，专门的团队被激活来照顾医疗紧急病人(MEP)。本研究的目的是描述丹麦ed成年欧洲议会议员的管理组织。本研究考察了触发团队的激活标准、训练和组成。方法:采用横断面描述性研究。调查问卷被发送到每个丹麦急诊科的部门主管和护士长。他们招募符合条件的人员回答调查问卷。数据于2021年10月1日至12月15日期间获得。结果:纳入23家医院，19家应答(82.6%)。大多数急诊科(89.5%)都有过MEP的触发呼叫。在70.6%的急诊中，每年触发MEP的次数超过300次。所有急诊室都使用红色分类(丹麦紧急过程分类)作为MEP呼叫的激活标准。大多数受访者接受过模拟培训(82.4%)。所有受访者都认为自己在管理环境保护方面受过足够的教育。MEP触发团队的成员从3人到11人不等，团队领导的差异很大。结论:丹麦各医院对MEP的管理差异较大。系统的MEP管理方法与创伤和脑卒中患者的管理相一致，可能有助于提高该患者组的护理质量和预后，但还需要进一步的研究。资金:没有。试验注册:不相关。

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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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.