Evaluation of a Novel Clinical Assistant Model of Care on Patient Flow and Emergency Department Length of Stay

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2025-05-30 DOI:10.1111/1742-6723.70070

Jeremy Chou, Namankit Gupta, Alvin Lim, Josh Bryan, Katie Walker, Diana Egerton-Warburton, Jeniffer Kim-Blackmore, Rachel Rosler, Andy Lim

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引用次数: 0

Abstract

Objective

To measure the contribution of clinical assistants (CAs) to departmental flow and length of stay.

Methods

An observational study comparing key performance indicators (KPIs) between shifts with and without assistants.

Results

A total of 122 shifts were included from 1 November to 31 December 2021. There was no difference in the proportion of patients who were seen by a doctor within 1 h, ambulance offload times, or 4-h departure metrics (regardless of non-admitted, admitted, or short stay status).

Conclusion

CAs do not have a demonstrable impact on ambulance offload times, cubicle availability, or 4-h KPIs.

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一种新型临床助理护理模式对病人流量和急诊科住院时间的评价

目的了解临床助理对科室流程和住院时间的贡献。方法采用观察性研究方法，比较有助手和无助手轮班的关键绩效指标。结果从2021年11月1日至12月31日共纳入122个班次。在1小时内看医生的患者比例、救护车下车时间或4小时离开指标（无论非住院、住院或短期住院状态）方面没有差异。结论CAs对救护车卸载时间、隔间可用性或4小时kpi没有明显影响。

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

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.