Reduced length of stay in medical emergency department patients: a prospective controlled study on emergency physician staffing
Reduced length of stay in medical emergency department patients: a prospective controlled study on emergency physician staffing
复制标题
DOI：
10.1097/00063110-200402000-00006
复制
发表时间：
2004-02-01
影响因子：
4.4
通讯作者：
Martina, Benedict
中科院分区：
文献类型：
--
作者：
Bucheli, Bruno;Martina, Benedict
目的：患者、急诊科工作人员和医院管理人员经常面临急诊科患者住院时间过长，导致急诊科人满为患的问题。我们假设增加医务人员将减少住院时间。方法：我们前瞻性地研究了连续的由内科住院医师在晚班期间在内科急诊科管理的患者。结果：在繁忙的夜班中增加一名医生后，急诊科评估和管理后出院患者的住院时间从176+/-137缩短到141+/-86min(平均+/-SD，P=0.012)。急诊科住院患者住院天数未见明显减少。结论：增加一名内科医生明显缩短了内科门诊患者的住院天数。(C)2004年，Lippincott Williams&Wilkins。
Objective: Patients, emergency department staff and hospital managers are often confronted with a prolonged length of stay of emergency department patients, with resulting overcrowding in the emergency department. We hypothesized that additional medical personnel would reduce the length of stay.Methods: We prospectively studied consecutive patients managed in a medical emergency department by internal medicine residents during the evening shift. Data were collected on patients managed before (n = 200) and after (n = 160) the addition of a second physician on the shift.Results: The addition of a physician in the busy evening shift decreased the length of stay from 176 +/- 137 to 141 +/- 86 min (mean +/- SD, P = 0.012) for outpatients discharged after evaluation and management in the emergency department. The length of stay for emergency department inpatients admitted for hospitalization was not significantly reduced.Conclusion: An additional physician significantly reduced the length of stay of medical emergency department outpatients. (C) 2004 Lippincott Williams & Wilkins.