医院急诊抢救患者滞留现状及成因分析  

Analysis of the Current Situation and Causes of Retention of Emergency Rescue Patients in the People's Hospital

作　　者：陈双龙[1] 谭瑶[1] 郑高峰[1] 黄月刚 罗鹏 唐晓军[1] Chen Shuanglong;Tan Yao;Zheng Gaofeng(People's Hospital of Jianyang,Sichuan,641400,China;不详)

机构地区：[1]四川省简阳市人民医院,四川简阳641400

出　　处：《中国医院管理》2024年第7期50-54,共5页Chinese Hospital Management

摘　　要：目的调查简阳市人民医院急诊抢救患者滞留现状并探究其成因。方法回顾性分析2022年简阳市人民医院急诊室抢救的4834例患者的资料,依照急诊滞留时间是否超过6 h分成滞留组和未滞留组。以是否滞留为因变量,以可能导致急诊滞留的因素为自变量,采用二元logistic回归分析筛查急诊滞留的相关因素。结果抢救患者急诊滞留时间的中位数为4.84 h,滞留时间≤6 h有3721例(占76.98%),滞留时间>6 h有1113例(占23.02%);急诊滞留的影响因素主要有年龄、就诊时间、就诊季节、入院方式、涉及2个以上科室、分流去向、治疗依从性(P<0.05)。结论年龄≥41岁、就诊时间为17:00—<次日08:00、就诊季节为冬季、入院方式为自行入院、涉及2个以上科室、分流去向为住院、治疗依从性一般或差的抢救患者易出现急诊滞留情况。故医院急诊科应针对上述因素制定妥善的管理措施,以减少急诊滞留时间。Objective To investigate the current situation of emergency rescue patient retention in Jianyang People's Hospital and explore its causes.Methods A retrospective analysis was conducted on the data of 4834 patients rescued in the emergency room of Jianyang People's Hospital in 2022.They were divided into retention group and non retention group based on whether the emergency detention time exceeded 6 hours.With detention as the dependent variable and factors that may lead to emergency detention as the independent variable,binary logistic regression method was applied to screen for factors related to emergency detention.Results The median retention time for emergency rescue patients was 4.84 hours,with 3721 cases(76.98%)having a retention time≤6 hours and 1113 cases(23.02%)having a retention time>6 hours;the main influencing factors for emergency detention included age,visit time,visit season,admission method,involving two or more departments,diversion direction,and treatment compliance(P<0.05).Conclusion Emergency patients aged≥41 years old,treated from 17:00to<08:00 the next day,visited in winter,admitted on their own,involving two or more departments,diverted to hospitalization,and with average or poor treatment compliance are prone to emergency detention.Therefore,the emergency department of the hospital should develop appropriate management measures based on the above factors to reduce emergency detention time.

关 键 词：急诊 滞留 影响因素 

分 类 号：R197.323.2[医药卫生—卫生事业管理]