调节患者输出：重新思考电磁在医疗保健系统中的作用。

IF 3.2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Internal and Emergency Medicine Pub Date : 2024-09-23 DOI:10.1007/s11739-024-03774-6

Annmarie M Lang-Hodge, Melissa N Monaghan, Rodrick Lim, Eric P Heymann, Eddy Lang

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引用次数: 0

摘要

过度拥挤已成为世界各地急诊科（ED）的一个重要问题。过度拥挤造成了混乱、不安全和无序的环境，增加了医疗团队的负担，并导致工作条件恶化，随之而来的是更高的职业倦怠率。本综述旨在讨论改善急诊室病人出院流程的不同解决方案，无论是将病人送往住院部、其他医院还是门诊，以及病人流程中的这一部分对医生健康的影响。本文中介绍的解决方案可适用于任何环境，不受地理位置的限制。

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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Modulating patient output: rethinking the role of EM in the healthcare system.

Overcrowding has become a significant issue in Emergency departments (EDs) around the world. Overcrowding contributes to a chaotic, unsafe and disorganized environment, increasing the burden on healthcare teams, and has led to deteriorating working conditions, with subsequent higher rates of burnout. This review aims to discuss different solutions to improve the process of patient discharge from the ED, either to an inpatient unit, another hospital, or to an outpatient setting, and the impact this component of patient flow can have on physician well being. The solutions presented in this paper have been chosen for their translatability to any setting, regardless of their geographical location.

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来源期刊

Internal and Emergency Medicine 医学-医学：内科

CiteScore

7.20

自引率

4.30%

发文量

258

审稿时长

6-12 weeks

期刊介绍： Internal and Emergency Medicine (IEM) is an independent, international, English-language, peer-reviewed journal designed for internists and emergency physicians. IEM publishes a variety of manuscript types including Original investigations, Review articles, Letters to the Editor, Editorials and Commentaries. Occasionally IEM accepts unsolicited Reviews, Commentaries or Editorials. The journal is divided into three sections, i.e., Internal Medicine, Emergency Medicine and Clinical Evidence and Health Technology Assessment, with three separate editorial boards. In the Internal Medicine section, invited Case records and Physical examinations, devoted to underlining the role of a clinical approach in selected clinical cases, are also published. The Emergency Medicine section will include a Morbidity and Mortality Report and an Airway Forum concerning the management of difficult airway problems. As far as Critical Care is becoming an integral part of Emergency Medicine, a new sub-section will report the literature that concerns the interface not only for the care of the critical patient in the Emergency Department, but also in the Intensive Care Unit. Finally, in the Clinical Evidence and Health Technology Assessment section brief discussions of topics of evidence-based medicine (Cochrane’s corner) and Research updates are published. IEM encourages letters of rebuttal and criticism of published articles. Topics of interest include all subjects that relate to the science and practice of Internal and Emergency Medicine.