急诊科低视力病人夜间偏转：一项为期6个月的质量改善项目评估

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-05-13 DOI:10.1016/j.ienj.2025.101619

Rob Fenwick , Nina Bassett , Charlotte Revell-Jones , Rachel Bowen , Lindsey Bloor , Robin Roop

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引用次数: 0

摘要

背景和问题陈述英国的紧急护理服务目前面临前所未有的压力，导致患者长时间延误。因此，需要其他方法来改善患者体验。项目目标偏转是一个过程，在这个过程中，低视力的患者可以选择返回预约。该项目旨在通过将偏转引入我们的急诊科（ED）来减少住院时间（LOS）。方法确定符合条件的患者，记录其预期ED-LOS，并将其返回时的实际ED-LOS与满意度评分进行比较。结果147例过夜患者在6个月内发生偏转（1.8%）。预计患者ED LOS平均减少5小时（300分钟）。患者满意度为4.79（满分5分）。虽然只适用于在急诊科过夜的一小部分患者，但偏转使护理团队能够提供替代等待的选择。结论在我们的急诊科内，低视力患者的夜间偏转降低了整体视力，改善了适合患者的体验。这可能还有利于更广泛的急诊科系统，减少候诊区的拥堵和患者等待时护理的需要。

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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Emergency Department overnight deflection of low acuity patients: A 6-month evaluation of a quality improvement project

Background and problem statement

Emergency care services in the United Kingdom (UK) are currently under unprecedented pressure which has resulted in long patient delays. Alternative approaches are therefore required to improve patient experience.

Project Aims

Deflection is the process where patients with low acuity presentations are offered the option of returning to an appointment. This project aimed to reduce the Length Of Stay (LOS) by introducing deflection into our Emergency Department (ED).

Methods

Patients with suitable conditions were identified and their predicted ED-LOS was recorded which was then compared to their actual ED-LOS when they returned along with a satisfaction score.

Results

147 overnight patients were deflected in a 6-month period (1.8%). The mean reduction in the predicted patient ED LOS was 5 h (300 min). The patient reported satisfaction was 4.79 out of 5.

Discussion

Whilst only suitable for a subset of patients presenting overnight to our ED, deflection empowered the nursing team to be able to offer alternatives to waiting.

Conclusion

Within our ED, overnight deflection of patients with low acuity conditions has reduced the overall LOS and improved the experience for suitable patients. This may additionally benefit the wider ED system by reducing congestion in waiting areas and the need for nursing care whilst patients wait.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.