نوع مقاله : مروری
نویسندگان
1 دانشجوی کارشناسی ارشد پرستاری، کمیته تحقیقات و فناوری دانشجویی، گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
2 استاد، مرکز تحقیقات سلامت سالمندان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
چکیده
زمینه و هدف: طولانی بودن زمان اقامت بیماران در بخش اورژانس ممکن است بر کیفیت مراقبت تأثیر داشته باشد. علل مؤثر بر مدت اقامت بهصورت مروری کم بررسیشده است. لذا مطالعه حاضر باهدف بررسی علل مؤثر بر مدت اقامت بیماران در بخش اورژانس انجام شد.
مواد و روشها: در این مطالعه مروری، جستجو در پایگاههای اطلاعاتی Pubmed ، Science direct ، Scopus،Google scholar و SID با استفاده از کلیدواژههای " Emergency department"Length of stay" " ،"Duration of stay" وInfluencing factors"" و معادل فارسی آنها، بین مقالات فارسی و انگلیسی موجود در بازه زمانی 2000 تا 2024 انجام شد. بعد از مرور مقالات درنهایت 12 مقاله مرتبط بررسی شد. مقالات نامه به سردبیر وارد مطالعه نشد.
یافتهها: بیشترین علل مؤثر در افزایش مدت اقامت بیماران در بخش اورژانس به ترتیب تأخیر در پاسخ به خدمات مشاوره تخصصی، فرایند آزمایش و طول زمان نتیجه آزمایشگاهی، ناکافی بودن تختها در بخشهای بستری، سطح تریاژ بیماران و سن بالای بیماران بود.
نتیجهگیری: با توجه نتایج پیشنهاد میشود با طراحی برنامههای تیمی و دستورالعملهای مربوطه، اقدام به کوتاه نمودن اقامت بیماران در واحدهای اورژانس بیمارستانی بهویژه در ایران نمایند. همچنین توصیه میشود بیماران هر چه سریعتر تعیین تکلیف شوند
تازه های تحقیق
https://scholar.google.com/citations?hl=fa&authuser=1&user=_uKkbqYAAAAJ&user=_uKkbqYAAAAJ
https://www.ncbi.nlm.nih.gov/myncbi/yagane.behbodi.1/bibliography/public/
https://scholar.google.com/citations?user=aaBUOKkAAAAJ&hl=en
https://www.ncbi.nlm.nih.gov/myncbi/mostafa.rad.1/bibliography/public/
کلیدواژهها
موضوعات
عنوان مقاله [English]
Investigating Factors Affecting the Length of Stay of Patients in the Emergency Department: A Review Study
نویسندگان [English]
- Yeghane Behbodi Rad 1
- Mostafa Rad 2
1 MSc Student, Student Research Committee, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
2 Professor, Iranian Research Center of Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
چکیده [English]
Introduction: The length of stay in the emergency department (ED) can significantly affect the quality of care provided. However, the factors influencing this duration have been infrequently reviewed. This study aims to investigate factors affecting patients' length of stay in the emergency department.
Materials and Methods: Materials and Methods: This review study involved a comprehensive search of the PubMed, ScienceDirect, Scopus, Google Scholar, and SID databases using the keywords "Emergency department," "Length of stay," "Duration of stay," and "Influencing factors," along with their Persian equivalents. The search focused on Persian and English articles published between 2000 and 2024. Ultimately, 12 relevant articles were selected for review, excluding letters to the editor.
Results: The primary factors contributing to increased length of stay in the emergency department included delays in specialized consultation services, the laboratory testing process and turnaround time for results, insufficient beds in inpatient wards, the level of patient triage, and the advanced age of patients.
Conclusion: Based on these findings, it is recommended that the design of team programs and relevant guidelines be implemented to reduce emergency department patient stays, particularly in Iran. This should include clarifying ward responsibilities and discharge planning.
کلیدواژهها [English]
- Emergency department
- length of stay
- care
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