文献综述—快速诊断在急诊的伯用-DepartmentSetting.PDFVIP

Impact of Quick Diagnosis Unit Integrated in an Emergency Department Setting Jan 2013 K. H. B. Madsen May contain information that is not supported by performance and intended use claims of Radiometers products. See also Legal info. BACKGROUND: Hospitals in countries with public health systems have recently adopted organizational changes to improve efficiency and resource allocation, and reducing inappropriate hospitalizations has been established as an important goal, as well as avoiding or buffering overcrowding in Emergency Departments. AIMS: Our goal was to describe the impact of a Quick Diagnosis Unit (QDU) established on January 1, 2012, integrated in an Emergency Department setting in a Danish public university hospital following its function for the first ? of a year. DESIGN: Observational, descriptive and comparative study. METHODS: Our sample comprised the total number of patients with simple internal medicine ailments admitted and discharged the first ? of the year 2012 from the QDU integrated in an Emergency Department setting. The QDU accommodated 16 patients and was comprised of 10 beds and 6 ambulatory seats / chairs. The sample was compared with the total number of general internal medicine ward patients admitted and discharged the first ? of the year 2011 from the hospital’s general Department of Internal Medicine. RESULTS: Over a period of 9 months a number of 4508 patients with simple internal medicine ailments were admitted and discharged from the QDU integrated in an Emergency Department setting. This amounts to ~500 patients admitted and discharged per month or a turnover of ~ 1patient per accommodation (bed or seat / chair) per day. Compared with the first ? of the year 2011 the establishment of the QDU integrated in the Emergency Department resulted in the admittance and discharge of 1139 fewer patients (41%; p 0.0001) to the hospital’s general Department of Internal Medicine. CONCLUSIONS: A QDU inte