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首页> 外文期刊>Clinical leadership and management review: the journal of CLMA >How the clinical laboratory and the emergency department can work together to move patients through quickly.
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How the clinical laboratory and the emergency department can work together to move patients through quickly.

机译：临床实验室和急诊科如何一起工作以使患者快速通过。

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The emergency departments (ED) at many medical centers are experiencing increased crowding and prolonged ED patient length of stay. During periods of heavy patient volume, the ED may go on divert status and be unable to care for new patients except for life-threatening illness. As part of a larger interdepartmental effort to improve ED operations, we implemented an ED satellite laboratory (kiosk) in the ED of Massachusetts General Hospital. The tests performed included cardiac markers, urinalysis, urine pregnancy testing, and whole blood glucose testing. The resulting average test turnaround time decreased by 51.5 minutes (87%) compared with the central laboratory, and physician satisfaction increased markedly. ED patient length of stay decreased by an average of 41 minutes for each patient tested, and the number of ED divert hours has steadily decreased. We therefore have concluded that point-of-care testing in an ED satellite laboratory may improve ED operations and contribute to improved outcomes when implemented as part of a larger interdepartmental effort.
机译：许多医疗中心的急诊科（ED）越来越拥挤，并且ED患者的住院时间延长。在病人量大的时期，急诊科可能会继续转移病情，除了危及生命的疾病外，无法照顾新病人。作为部门间更大努力以改善ED操作的一部分，我们在马萨诸塞州总医院急诊室中建立了ED卫星实验室（信息亭）。进行的测试包括心脏标志物，尿液分析，尿液妊娠测试和全血糖测试。与中心实验室相比，平均测试周转时间减少了51.5分钟（87％），医师满意度显着提高。对于每位接受检查的患者，ED患者的平均住院时间平均减少41分钟，并且ED转移小时数稳步减少。因此，我们得出的结论是，当作为跨部门努力的一部分实施时，在ED卫星实验室进行的即时检验可以改善ED的操作并有助于改善结果。

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