根据结构化分诊系统对患者的分类,基于急诊级别的医院急诊服务实验室使用分析模型

Javier Ulibarrena , Emilia Ramayo , Andrés Camacho , Susana Valverde , Francisco Ramírez , Sonia Martínez
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引用次数: 0

摘要

目的探讨基于结构化分诊系统对急诊科患者分布情况的实验室诊断资源利用分析模型的适用性及分析结果。这个模型允许研究它们是否被有效地使用。方法根据4家医院2017年急诊总人次(185128人次)的分诊等级(TL)和实验室分析要求编制数据库。所有选定病例均采用西班牙分诊系统。设计了四个指标,将分诊级别和使用的实验室资源(所需的检测次数和每个分诊级别使用的相对价值单位)联系起来。结果在基于TL评价实验室需求复杂性时,TL值越高(突发事件复杂性越低),实验室分析需求复杂性为中低水平;与四级、五级、五万七千六百二十六级(32.32%)相比,一级、二级、三级每个集束TL消耗的相对价值单位数量更高,为一百一十四万四千七百二十七(67.68%),强调了医院在四级、五级TL使用的相对价值单位数量上的差异,分别为46%和28%。当考虑TL IV、V对应的请求数时,范围为63.76% ~ 35.78%。结论利用急诊科实验室需求资源作为分诊水平的函数是可行的。结果验证了所提出的一套指标作为管理工具的效用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Modelo de análisis del uso del laboratorio por los servicios de urgencias hospitalarios basado en el nivel de urgencia según clasificación del paciente por el sistema de triaje estructurado

Objective

The aim of this study is to describe the applicability and the results obtained by applying an analysis model of the use of laboratory diagnostics resources based on the distribution of patients in the emergency department made through the structured triage systems. This model allows studying whether or not they are used efficiently.

Methods

A database was compiled according to the triage level (TL) of the total number of emergency visits in 2017 (185,128) and requests for laboratory analyses in 4 hospitals. The Spanish triage system was used in all the selected cases. Four indicators were designed to link the triage level and the laboratory resources used (the number of required tests, and the relative value units used in each of the triage levels).

Results

When assessing the complexity of the laboratory requests based on the TL, the higher value of the TL (less complex emergency), the low-medium complexity of the requests for laboratory analyses; relative value units consumed for each clustered TL is higher for levels I, II, III 1,104,712.73 (67.68%) compared with the levels IV, V 527,526.92 (32.32%), emphasising the differences between the hospitals on the number of relative value units used in TL IV, V, 46% and 28%. When the number of requests corresponding to TL IV, V have been considered, the range runs from 63.76% to 35.78%.

Conclusions

The use of the resource of laboratory requests from the emergency department as a function of the level of triage, is possible. Results validate the utility of the proposed set of indicators as a management tool.

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