某院急诊患者滞留原因分析与对策  

Analysis of the Causes of Retention of Emergency Patients in a Hospital and Exploration of Countermeasures

作　　者：王彬翀[1] 蒋玉梅[1] 李红霞[1] 赵旸 陈阿鹏 徐妙[1] 刘正稳[1] WANG Binchong;JIANG Yumei;LI Hongxia(The First Affiliated Hospital of School of Medicine,Xi'an Jiaotong University,Xi'an,Shaanxi,710061,China)

机构地区：[1]西安交通大学医学院第一附属医院,陕西西安710061

出　　处：《中国卫生质量管理》2024年第1期30-33,共4页Chinese Health Quality Management

摘　　要：目的 分析某院急诊患者滞留情况,为缓解急诊患者滞留难题提供参考。方法 回顾性分析该院2022年1月-12月急诊科患者滞留情况和滞留原因。结果 2022年1月-12月该院共有949人次急诊患者滞留超过24 h。急诊患者滞留排名前5的内科科室是神经内科、消化内科、呼吸内科、肾脏内科和心血管内科,排名前5的外科科室是神经外科、肝胆外科、心血管外科、泌尿外科和普通外科,内科科室滞留人数明显多于外科科室;滞留原因主要为:医院重症监护床位设置不足,多学科会诊不及时和急诊患者病情特殊等。结论 医院应建立多学科立体交融的现代医学管理体系,以解决急诊患者滞留问题。Objective To analyze the retention of emergency patients in a hospital,and to provide reference for alleviating the retention of emergency patients.Methods The retention status and causes of patients in the emergency department of the hospital from January to December 2022 were retrospectively analyzed.Results From January to December 2022,a total of 949 emergency patients stayed for more than 24 hours.The top 5 medical departments for emergency patients staying were neurology,gastroenterology,respiratory medicine,nephrology and cardiovascular medicine,and the top 5 surgical departments were neurosurgery,hepatobiliary surgery,cardiovascular surgery,urology and general surgery.The number of patients staying in the medical department was significantly higher than that in the surgical department.The main reasons for the delay were insufficient intensive care beds,delayed multidisciplinary consultation and special condition of emergency patients.Conclusion The hospital should establish a complete and multi-disciplinary modern medical management system to solve the problem of retention of emergency patients.

关 键 词：急诊 患者滞留 多学科会诊 床位管理 急救通道 

分 类 号：R197.323[医药卫生—卫生事业管理]