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Improving Patient Flow Through Axiomatic Design of Hospital Emergency Departments

机译:通过医院急诊科的公理化设计改善患者流量

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摘要

In response to crowding in hospital emergency departments (ED), efforts have been made to increase patient flow through the Fast Track (FT). The use of FT, however, has not always been accompanied by an increase in the overall patient flow, sometimes leaving the FT underutilized. We find that this is mainly caused by the current practice of assigning patients to FT based only on the Emergency Severity Index. One index for two functional requirements results in a coupling between prioritizing of patients and encouraging the fast flow of them. By introducing a new index for patient flow, we could uncouple this design problem and significantly decrease the overall patient waiting time (~50%) compared to that of the existing use of FT.
机译:为了应对医院急诊科(ED)的拥挤情况,已努力增加通过快速通道(FT)的患者流量。但是,使用FT并不总是伴随着整体患者流量的增加,有时会使FT的利用不足。我们发现这主要是由于目前仅根据紧急程度指数为患者分配FT的做法引起的。两个功能需求的一个指标导致患者优先级与鼓励患者快速流动之间的耦合。通过引入新的患者流量指标,我们可以消除该设计问题,与现有的FT相比,可以显着减少总体患者等待时间(约50%)。

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