Hospitalists and an innovative emergency department admission process

被引：26

作者：

Howell, EE

Bessman, ES

Rubin, HR

机构：

[1] Johns Hopkins Bayview Med Ctr, Dept Med, Baltimore, MD 21224 USA

[2] Johns Hopkins Bayview Med Ctr, Dept Emergency Med, Baltimore, MD 21224 USA

[3] Johns Hopkins Univ, Sch Med, Dept Med, Baltimore, MD 21205 USA

[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA

[5] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2004年 / 19卷 / 03期

关键词：

patient admission; emergency medicine; hospitalist;

D O I：

10.1111/j.1525-1497.2004.30431.x

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

After treatment in an emergency department (ED), patients often wait several hours for hospital admission, resulting in dissatisfaction and increased wait times for both admitted and other ED patients. We implemented a new direct admission system based on telephone consultation between ED physicians and in-house hospitalists. We studied this system, measuring admission times, length of stay, and mortality. Postintervention, admission times averaged 18 minutes for transfer to the ward compared to 2.5 hours preintervention, while pre- and postintervention length of stay and mortality rates remained similar.

引用

页码：266 / 268

页数：3

共 8 条

[1] EMERGENCY DEPARTMENTS AND CROWDING IN UNITED-STATES TEACHING HOSPITALS [J].