CAJ | 학술논문

急诊科拥挤问题已经成为了一个世界性的危机，严重影响了急诊医疗服务质量。研究表明，拥挤的急诊科救护车转向率和未看医生离开急诊现象发生率较高，可引起急性心肌梗死、缺血性脑卒中等时间敏感性疾病治疗的延迟，导致更差的临床预后，增加临床用药错误的发生率，降低患者对急诊的满意度。另外还有资料显示，急诊科拥挤对急诊医师的培养也会产生不利影响。评估和缓解急诊科拥挤主要集中在入口环节、处置过程和出口环节三个部分，但到目前为止，还没有有效的评估和缓解策略。
급진과옹제문제이경성위료일개세계성적위궤，엄중영향료급진의료복무질량。연구표명，옹제적급진과구호차전향솔화미간의생리개급진현상발생솔교고，가인기급성심기경사、결혈성뇌졸중등시간민감성질병치료적연지，도치경차적림상예후，증가림상용약착오적발생솔，강저환자대급진적만의도。령외환유자료현시，급진과옹제대급진의사적배양야회산생불리영향。평고화완해급진과옹제주요집중재입구배절、처치과정화출구배절삼개부분，단도목전위지，환몰유유효적평고화완해책략。
Emergency department (ED) crowding represents a worldwide crisis, which may seriously affect the access and quality of health care .The most important themes include the increases of ambulance diversion and leaving without being seen , the delays in care for time -sensitive diseases such as acute myocardial infarction and stroke .It contributes to various adverse outcomes , medical errors and low patient satisfaction . The ED crowding also influences the emergency resident training .The assessment and mitigation strategies are focus on input ,throughput and output parts .However,there are no effective strategies till now .