지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Objective: Emergency department (ED) overcrowding is a global trend that has negative impacts on the clinical outcomes, especially on critically ill patients. Reducing the portion of these critical patients by limiting the ED length of stay (LOS) to less than 6 hours has become one of the most crucial targets of government policy. This could be valuable for resolving overcrowding, but the clinical impacts and applicability had not been evaluated. Methods: Consecutive emergency patients registered on the National Emergency Department Information System from January 2016 to December 2017 were analyzed. This study included critically ill patients who had a severe illness code, as defined by the government. The in-hospital mortality rate was compared by under or over six hours of ED LOS, in patients with a severe illness code, and intensive care unit (ICU) patients. Results: Among 18,217,034 patients, 436,219 patients had a severe illness code. The ED LOS in the less than six hours group showed a higher in-hospital mortality rate than that of more than six-hours group (7.1% vs. 6.5%, respectively). When the rule for the severe illness code to ICU admission was changed, the in-hospital mortality rate showed a remarkable difference between the under and over six-hour group (12.8% vs. 15.0%, respectively). The proportion of critically ill patients admitted within six hours increased when the standard for outlier removal was set higher than the current. Conclusion: A more suitable quality indicator or criterion for severe illness code is required for improving the clinical outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
차원철 / 2016 / Emergency Department Crowding Disparity: A Nationwide Cross-Sectional Study / Journal of Korean Medical Science 31(8):1331~1336
Eitel DR / 2010 / Improving service quality by understanding emergency department flow : a White Paper and position statement prepared for the American Academy of Emergency Medicine / J Emerg Med 38:70~79
Tsai MT / 2016 / The influence of emergency department crowding on the efficiency of care for acute stroke patients / Int J Qual Health Care 28:774~778
Sills MR / 2011 / Emergency department crowding is associated with decreased quality of care for children with acute asthma / Ann Emerg Med 57:191~200
Mason S / 2012 / Time patients spend in the emergency department: England’s 4-hour rule-a case of hitting the target but missing the point? / Ann Emerg Med 59:341~349
Eitel DR / 2010 / Improving service quality by understanding emergency department flow : a White Paper and position statement prepared for the American Academy of Emergency Medicine / J Emerg Med 38:70~79
Tsai MT / 2016 / The influence of emergency department crowding on the efficiency of care for acute stroke patients / Int J Qual Health Care 28:774~778
Sills MR / 2011 / Emergency department crowding is associated with decreased quality of care for children with acute asthma / Ann Emerg Med 57:191~200
Mason S / 2012 / Time patients spend in the emergency department: England’s 4-hour rule-a case of hitting the target but missing the point? / Ann Emerg Med 59:341~349
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