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2020, vol. 37, br. 4, str. 369-380
Efekat primene indeksa za procenu urgentnosti na čekanje i zbrinjavanje bolesnika na odeljenju urgentne medicine
Urmia University of Medical Sciences, Faculty of Nursing and Midwifery, Department of Medical Surgical Nursing, Urmia, Iran

e-adresahabibzadeh.h@umsu.ac.ir
Ključne reči: odeljenje urgentne medicine; trijaža; bolesnik
Sažetak
Vreme koje bolesnici provedu na odeljenju urgentne medicine, kako bi bili zbrinuti, utiče na mnogobrojne procese koji se odvijaju na tom odeljenju. Cilj ovog istraživanja bilo je određivanje efekta primene indeksa za procenu urgentnosti situacije na vreme koje bolesnici provedu na odeljenju urgentne medicine kako bi bili zbrinuti. Ova kvazieksperimentalna studija uključila je 736 bolesnika, koji su bili upućeni na odeljenje urgentne medicine bolnice Imam Khomeini u Mahabadu. Nakon trijaže, usled primene ovog indeksa, trista šezdeset osam bolesnika raspoređeno je u preinterventnu grupu, dok je trista šezdeset osam pacijenata raspoređeno u postinterventnu grupu, primenom metode slučajnog odabira. Pre i posle sprovođenja trijaže, vreme čekanja bolesnika bilo je mereno i beleženo hronometrom. Za analizu podataka korišćeni su Chisquare, Mann-Whitney i Kruskal-Wallis testovi. Pre i nakon intervencije, bolesnici iz obeju grupa bili su homogeni u pogledu demografskih varijabli (p > 0,05). Rezultati Mann-Whitney testa ukazuju na to da primena indeksa za procenu urgentnosti situacije ima pozitivan efekat na smanjenje prosečnog vremenskog intervala za zbrinjavanje bolesnika, kao i na ukupno vreme provedeno na odeljenju urgentne medicine (p < 0,05). Uzimajući u obzir primenu trijaže pomoću ovog indeksa, koja je smanjila čekanje bolesnika, indeks za procenu urgentnosti situacije preporučuje se u obuci sestara i ostalog medicinskog osoblja na odeljenju urgentne medicine.
Reference
Baker, T., Dawson, S.L. (2013) What small rural emergency departments do: A systematic review of observational studies. Australian Journal of Rural Health, 21(5): 254-261
Bellis, M.A., Leckenby, N., Hughes, K., Luke, C., Wyke, S., Quigg, Z. (2012) Nighttime assaults: Using a national emergency department monitoring system to predict occurrence, target prevention and plan services. BMC Public Health, 12(1):1
Bergs, J., Verelst, S., Gillet, J., Deboutte, P., Vandoren, C., Vandijck, D. (2014) The number of patients simultaneously present at the emergency department as an indicator of unsafe waiting times: A receiver operated curve-based evaluation. International Emergency Nursing, 22(4): 185-189
Downey, L.V.A., Zun, L.S., Burke, T. (2015) Comparison of Canadian triage acuity scale to Australian Emergency Mental Health Scale triage system for psychiatric patients. International Emergency Nursing, 23(2): 138-143
Eldabi, T., Paul, R.J., Young, T. (2007) Simulation modelling in healthcare: Reviewing legacies and investigating futures. Journal of the Operational Research Society, 58(2): 262-270
Eldabi, T., Irani, Z., Paul, R.J. (2002) A proposed approach for modelling health-care systems for understanding. Journal of Management in Medicine, 16(2/3): 170-187
Erenler, A.K., Akbulut, S., Guzel, M., Cetinkaya, H., Karaca, A., Turkoz, B., Baydin, A. (2014) Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. Turkish Journal of Emergency Medicine, 14(2): 59-63
Fry, M., Burr, G. (2001) Current triage practice and influences affecting clinical decision-making in emergency departments in NSW, Australia. Accident and Emergency Nursing, 9(4): 227-234
Gilboy, N., Tanabe, T., Travers, D., Rosenau, A.M. Emergency Severity Index (ESI): A triage tool for emergency department. Rockville, MD: Agency for Healthcare Research and Quality
Gilkar, A., Fink, R., Eardley, P., Barron, C. (2013) The Effect of 'on-Line' POCT on Patient waiting times in an Accident and Emergency Department. BMJ Quality Improvement Reports, 2(1): u201027.w685-u201027.w685
Horwitz, L.I., Green, J., Bradley, E.H. (2010) US Emergency Department Performance on Wait Time and Length of Visit. Annals of Emergency Medicine, 55(2): 133-141
Khatiban, A., Karampourian, A., Soltanian, A., Asadi, H.K., Salimi, R., Khalili, Z. The effects of the Emergency Severity Index triage education via problem-based learning on the triage nurses' performance and the patients' length of stay in the Emergency Department. J Clin Res Paramed Sci
Little, J.M. (2001) Healthcare rationing: Constraints and equity. Medical Journal of Australia, 174(12): 641-642
Movahednia, S., Partovishayan, Z., Bastani, M. (2013) A survey of timing indicators of emergency department at Firoozgar hospital: 2012. J Health Administration, 16(51):95-102. (In Persian)
Niska, R., Bhuiya, F., Xu, J. (2010) National Hospital Ambulatory Medical Care Survey: 2007 Emergency Department Summary. Natl Health Stat Report, 26(26): 1-31
Pourasghar, F., Tabrizi, J.S., Ala, A., Jafarabadi, A.M., Daemi, A. (2016) Validity of the emergency severity index in predicting patient outcomes in a major emergency department. J Nursing Midwifery Sci, 3(1):1-7
Pourmand, A., Lucas, R., Pines, J.M., Shokoohi, H., Yadav, K. (2013) Bedside Teaching on Time to Disposition Improves Length of Stay for Critically-ill Emergency Departments Patients. Western Journal of Emergency Medicine, 14(2): 137-140
Rahmani, F., Sepehri, M.P., Ebrahimi, B.H., Rahmani, F. (2018) Evaluating the accuracy of emergency nurses in correct triage using emergency severity index triage in Sina hospital of Tabriz: A cross-sectional analysis. Journal of Emergency Practice and Trauma, 4(1): 9-13
Tabibi, S.J., Najafi, B., Shoaie, S. (2009) Waiting time in the Akbar Sarvari, Hosein Habibzadeh, Leyla Alilu, Naser Sheikhi emergency department in selected hospitals of Iran University of Medical Sciences in 2007. Pejouhesh, 33(2):117-22. (In Persian)
Vieth, T.L., Rhodes, K.V. (2006) The effect of crowding on access and quality in an academic ED. American Journal of Emergency Medicine, 24(7): 787-794
Wong, H.J., Morra, D., Caesar, M., Carter, M.W., Abrams, H.W. (2010) Understanding hospital and emergency department congestion: An examination of inpatient admission trends and bed resources. CJEM, 12(01): 18-26
Yuksen, C., Sawatmongkornkul, S., Suttabuth, S., Sawanyawisuth, K., Sittichanbuncha, Y. (2017) Emergency severity index compared with 4-level triage at the emergency department of Ramathibodi University Hospital. Asian Biomedicine, 10(2): 155-161
 

O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.5937/afmnai2004369S
objavljen u SCIndeksu: 13.02.2021.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

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