The Effectiveness of Operating Fast Track by Board Certified Emergency Physician in Emergency Medical Center of Teaching Hospital
Journal of the Korean Society of Emergency Medicine
;
: 372-377, 2008.
Article
Dans Coréen
| WPRIM
| ID: wpr-19034
ABSTRACT
PURPOSE:
The main reasons for overcrowding of the Emergency Department (ED) in Korea were delay in the department's decision making and entrance of non-emergency patients. The purpose of this study is to determine how primary care and in-hospital triage by board certified emergency physician can shorten the patients's length of stay and relieve overcrowding in the ED.METHODS:
A prospective analysis of patients who visited the ED of a 700-bed tertiary care teaching hospital during holidays from April 2, 2006 to October 3, 2006 was done. We differentiated patients into a fast tract group and a non-fast tract group. Data compared were lengths of stay, decision time, number of unscheduled returns, and patient disposition.RESULTS:
The patients in the fast track group have significantly shorter decision time than the 1,159 patients in the non-fast track group (p<0.01). The disposition decision time of the fast track group was shorter than the non-fast track group by an average of 29 minutes. The total residence time of the fast tract group was shorter by an average of 26 minutes than the non-fast tract group. The difference in decision time (disposition decision time and residence time) was larger in the patients that were discharged from the ED. There was no unscheduled return.CONCLUSION:
This study demonstrates that setting up a fast track system run by a board certified emergency physician could be one of the solutions in minimizing ED being crowding by patients with non-emergency problems. Fast track system could shorten total residence time about 26 minutes.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Soins de santé primaires
/
Athlétisme
/
Soins de santé tertiaires
/
Surpeuplement
/
Études prospectives
/
Triage
/
Prise de décision
/
Urgences
/
Médecine d'urgence
/
Vacances
Type d'étude:
Étude observationnelle
Limites du sujet:
Humains
Pays comme sujet:
Asie
langue:
Coréen
Texte intégral:
Journal of the Korean Society of Emergency Medicine
Année:
2008
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS