急诊医疗浪涌应对策略的最佳证据总结  

Best evidence summary of emergency service surge capacity

作　　者：李树亚 孙朋霞 李玉冰 华小雪[1] 马俊[1] 石妍[1] 姜迪 李凡[1] Li Shuya;Sun Pengxia;Li Yubing;Hua Xiaoxue;Ma Jun;Shi Yan;Jiang Di;Li Fan(Department of Emergency,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院急诊科,北京100730

出　　处：《中国实用护理杂志》2024年第34期2681-2687,共7页Chinese Journal of Practical Nursing

基　　金：北京协和医学院2022年中央高校教育教学改革专项资金支持项目(2022zlgc0119);北京协和医学院中央高校基本科研业务费专项资金资助(3332023017);北京协和医院护理科研课题(XHHLKY202013)。

摘　　要：目的检索、评价并整合急诊医疗浪涌应对策略的最佳证据,以期为临床实践提供参考。方法根据证据资源"6S"模型,检索国际指南协作网、美国国立诊疗指南库、加拿大医学会临床实践指南库、苏格兰学院间指南网、欧洲急诊医学学会网站、美国急诊医师协会网站、急诊护士协会等网站,以及Cochrane Library、PubMed、Embase、CINAHL、Web of Science、BMJ Best Practice、UpToDate、中国知网、万方数据库、维普数据库中有关急诊医疗浪涌应对策略的所有证据,检索时限为建库至2023年12月31日。由2名研究者对纳入的文献进行质量评价,并对证据进行提取、整合。结果共纳入11篇文献,包括指南1篇、专家共识7篇、系统评价3篇,总结出核心要素、组织管理、空间管理、人员配置、物资配置、教育培训、支持服务7个类别43条最佳证据。结论该研究总结的最佳证据可为加强急诊科医疗浪涌应对能力提供依据。在临床应用时,急诊科可结合突发事件类型,围绕医疗浪涌应对的组织管理、空间、人员和物资方面合理调配资源,最大限度地提高自身常规、应急及危机应对能力,以进一步提高医疗浪涌应对能力。ObjectiveTo search,evaluate and integrate the best evidence of the best evidence for emergency service surge capacity.MethodsAccording to the"6S"model of evidence resources,the related evidence on emergency service surge capacity in Guidelines International Network,National Guideline Clearinghouse,Canadian Medical Association CPG Infobase,Scottish Intercollegiate Guidelines Network,European Society for Emergency Medicine,the American College of Emergency Physicians,Emergency Nurses Association,Cochrane Library,PubMed,Embase,CINAHL,Web of Science,BMJ Best Practice,UpToDate,CKNI,Wanfang,and VIP database were searched by computer.The retrieval time limit was from the establishment of the database to Dec 31,2023.Literature quality assessment and data extraction were performed by 2 researchers.ResultsA total of 11 articles were included in this study,including 1 guideline,7 expert consensuses and 3 systematic reviews,which summarized 43 pieces of evidence involving 7 categories,namely core elements,organizational management,space management,personnel allocation,material allocation,education and training,and support services.ConclusionsThe best evidence summarized in this study can provide a reference for emergency service to improve surge capacity.In clinical application,emergency departments should focus on organizational,space,personnel and materials management,combined with the type of emergency events,to maximize their routine,emergency and crisis response capabilities,so as to respond to medical surges effectively.

关 键 词：急诊 医疗浪涌 循证护理学 突发公共卫生事件 

分 类 号：R472.2[医药卫生—急诊医学]