固定急救技术对某综合性三甲医院急诊儿科就诊流量变化规律分析

Analysis on the variation pattern of fixed emergency techniques on the visit flow of the pediatric emergency department in a comprehensive class-A tertiary hospital

目的探讨固定急救技术对某综合性三甲医院急诊儿科就诊流量变化及规律,监测急诊儿科忙碌时段,为合理安排人力资源、采取有效的应对策略提供科学的实证依据。方法利用浙江大学医学院附属金华医院的固定急救技术对急诊预检分诊信息系统的数据,回顾性收集2017~2019年急诊儿科患者就诊情况,按单位时间统计就诊的例数及患者的年龄、性别、具体就诊时间,描述及分析其日、月、季度流量变化特征。结果急诊儿科24 h流量变化规律特征明显,患者流量有两个高峰,即12:00~14:00时间段和18:00~22:00时间段。急诊儿科月流量及季流量变化也有明显规律特征,急诊儿科就诊流量低谷月份为8月、9月和10月,就诊流量最高峰为1月、12月,其次是5月、6月。结论固定急救技术对急诊儿科就诊流量变化存在规律性,应根据规律变化制定有效的应对策略,优化固定急救技术对急诊儿科就诊流程,建立有序的急诊就诊秩序,提升急诊儿科患者对固定急救技术的满意度。

Objective To explore the effect of fixed emergency techniques on the variations of visit flow of the pediatric emergency department in a comprehensive class-A tertiary hospital as well as the variation pattern,and to monitor the busy hours of the pediatric emergency department,so as to provide a scientific and empirical basis for the rational arrangement of human resources and the implementation of effective countermeasures.Methods The patients′visit to the pediatric emergency department from 2017 to 2019 was retrospectively collected from the data on the emergency pre-screening and triage information system by the fixed emergency techniques of our hospital.The number of patients and the age,gender,and specific visit times of patients were counted by unit time,and the daily,monthly,and quarterly variation characteristics of visit flow were described and analyzed.Results The 24-hour visit flow in the pediatric emergency department showed an obvious variation pattern,and there were two peaks of patient flow at the time of 12:00-14:00 and 18:00-22:00.The monthly and quarterly visit flow in the pediatric emergency department also showed an obvious variation pattern,with the low-flow months being August,September and October,and the peak-flow months being January and December,followed by May and June.Conclusion There is a pattern in the variations of the visit flow in the pediatric emergency department induced by fixed emergency techniques,and effective countermeasures should be formulated according to the variation pattern to optimize the visit process by fixed emergency techniques,establish an orderly emergency visit order,and improve the satisfaction of patients with fixed emergency techniques in the pediatric emergency department.