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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Children's hospitals do not acutely respond to high occupancy.
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Children's hospitals do not acutely respond to high occupancy.

机译：儿童医院对高占用率没有敏锐的反应。

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OBJECTIVE: High hospital occupancy may lead to overcrowding in emergency departments and inpatient units, having an adverse impact on patient care. It is not known how children's hospitals acutely respond to high occupancy. The objective of this study was to describe the frequency, direction, and magnitude of children's hospitals' acute responses to high occupancy. METHODS: Patients who were discharged from 39 children's hospitals that participated in the Pediatric Health Information System database during 2006 were eligible. Midnight census data were used to construct occupancy levels. Acute response to high occupancy was measured by 8 variables, including changes in hospital admissions (4 measures), transfers (2 measures), and length of stay (2 measures). RESULTS: Hospitals were frequently at high occupancy, with 28% of midnights at 85% to 94% occupancy and 42% of midnights at > or =95% occupancy. Whereas half of children's hospitals used occupancy-mitigating responses, there was variability in responses and magnitudes were small. When occupancy was >95%, no more than 8% of hospitals took steps to reduce admissions, 13% increased transfers out, and up to 58% reduced standardized length of stay. Two-day lag response was more common but remained of too small a magnitude to make a difference in hospital crowding. Additional modeling techniques also revealed little response. CONCLUSIONS: We found a low rate of acute response to high occupancy. When there was a response, the magnitude was small.
机译：目的：较高的医院占用率可能导致急诊科和住院单元的人满为患，对患者的护理产生不利影响。尚不知道儿童医院如何对高占用率做出敏锐反应。这项研究的目的是描述儿童医院对高占用率的急性反应的频率，方向和大小。方法：2006年从参加儿童健康信息系统数据库的39家儿童医院出院的患者符合条件。午夜普查数据用于构建入住率。对高入住率的急性反应通过8个变量进行衡量，包括住院次数的变化（4个指标），转院（2个指标）和住院时间（2个指标）。结果：医院频繁有人入住，占85％至94％的入住率占午夜的28％，而有人居住率大于等于95％的医院占午夜的42％。尽管有一半的儿童医院使用了缓解缓解的反应，但反应存在差异，幅度很小。当入住率> 95％时，不超过8％的医院采取了减少住院的措施，增加了13％的转出费用，最多减少了58％的标准住院时间。两天的滞后反应较为普遍，但幅度仍然很小，无法改变医院的拥挤状况。其他建模技术也显示很少响应。结论：我们发现高占用率的急性反应率较低。当有回应时，幅度很小。

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