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首页> 外文期刊>Current opinion in anaesthesiology >Quality management and benchmarking in emergency medicine.
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Quality management and benchmarking in emergency medicine.

机译：急诊医学的质量管理和基准。

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摘要

PURPOSE OF REVIEW: Being critical in terms of time and complexity, emergency medicine is exposed to an emerging imperative for quality improvement strategies. We review current concepts and recent advances in the management of quality in emergency medicine. RECENT FINDINGS: There is a strong interdependence between quality of emergency healthcare provision and the education of emergency healthcare providers. Introduction of emergency medical residencies and highly qualified triage liaison physicians helps prevent the overcrowding of emergency departments, accelerate access to emergency medical care and improve patient satisfaction. New advances in detecting and reducing patient management errors include the collection of healthcare provider complaints and the classification of unpreventable and preventable deaths of patients within 1 week of admission via the emergency department. Medical record review and video recording have revealed that frequent patient management problems relate to shortcomings inthe diagnostic process, clinical tasks, patient factors, and poor teamwork. Communication skills and patient data/documentation systems may effectively resolve these problems. SUMMARY: According to the available evidence, more performance improvement strategies need to be tested to delineate which process changes would be most effective in improving patient outcome in emergency medicine.
机译：审查目的：就时间和复杂性而言至关重要的是，急诊医学面临着质量改进策略的新兴需求。我们回顾了急诊医学质量管理中的当前概念和最新进展。最近的发现：紧急医疗保健提供的质量与紧急医疗保健提供者的教育之间存在强烈的相互依存关系。引入急诊医疗人员和高素质的分诊联络医生有助于防止急诊科人满为患，加速获得急诊医疗服务并提高患者满意度。在发现和减少患者管理错误方面的新进展包括：通过急诊科收集医疗服务提供者的投诉，并对入院后1周内无法预防和可预防的患者死亡进行分类。病历审查和视频记录表明，频繁的患者管理问题与诊断过程，临床任务，患者因素和团队合作不力等方面的缺陷有关。沟通技巧和患者数据/文档系统可以有效解决这些问题。摘要：根据现有证据，需要测试更多的性能改善策略，以描述哪种过程更改将最有效地改善急诊患者的预后。

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