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The Effect of Emergency Department Treatment Time on Outcomes in Acute Stroke Patients

机译：急诊科治疗时间对急性脑卒中患者预后的影响

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BACKGROUND: Stroke is a disease that leads to a long period of disability and death. Accordingly, the initial treatment is so influential on the prognosis of a patient that shortening the time to initial treatment after hospital admission has a very important role in the entire treatment regimen. This study aimed to demonstrate the effect of the Emergency Department treatment time at Bundang CHA Hospital for acute stroke patients to improve the treatment regimen through six sigma activities. METHODS: The outcomes for 246 patients with suspected acute strokes who were admitted to the Emergency Department of Bundang CHA Hospital, the flow of the emergency department process divided into 11 phases, and the duration of each phase were determined. Patients were classified as before and after six sigma activities and compared. RESULTS: The five phases statistically demonstrated the effect of meaningful improvement in the duration of visit-receiving CT prescriptions, visit-receiving lab prescriptions, consult request-arriving to the emergency department, visit-CT angiography results, and visit-the issue of hospital admissions. In the next 2 phases, the sigma level also improved by 0.71sigma and 0.06sigma. However, the total emergency department stay time was not statistically meaningful. The time required time was increased and the sigma level was decreased by 0.19sigma. CONCLUSIONS: The result of six sigma activities showed the effect of the treatment system improvement with a partial decrease in the duration of each phase, but the total emergency department stay time was not improved owing to environmental factors. For better results, continuous improvement of the treatment system and expansion of hospital facilities will be required.
机译：背景：中风是一种导致长期残疾和死亡的疾病。因此，初始治疗对患者的预后影响很大，以至缩短住院后开始初始治疗的时间在整个治疗方案中都起着非常重要的作用。本研究旨在证明盆唐CHA医院急诊科治疗时间对急性中风患者的影响，可通过六个sigma活动来改善治疗方案。方法：对246例盆唐CHA医院急诊科疑似急性中风患者的预后进行了分析，确定了急诊科流程分为11个阶段，并确定了每个阶段的持续时间。将患者分类为六个sigma活动之前和之后，然后进行比较。结果：这五个阶段在统计学上证明了有效改善接受访视的CT处方，接受访视的实验室处方，咨询急诊科的急诊要求，随访CT血管造影结果以及就诊问题的持续时间的效果招生。在接下来的两个阶段中，sigma水平也分别提高了0.71sigma和0.06sigma。但是，急诊科的总停留时间没有统计学意义。所需的时间增加了，西格玛水平降低了0.19西格玛。结论：六个西格玛活动的结果表明，改善治疗系统的效果随着每个阶段的持续时间的减少而有所减少，但由于环境因素，急诊科的总停留时间并未得到改善。为了获得更好的效果，将需要不断改善治疗系统并扩大医院设施。

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