• 作者：J. Alcaraz-Martí ; nez^a ; ^{julian.alcaraz2@carm.es} ; S. Lorenzo-Martí ; nez^b ; C. Fariñ ; as-Á ; lvarez^c ; B. Ferná ; ndez-Gonzá ; lez^d ; A. Calvo Pé ; rez^e ; M. Gonzá ; lez-Pé ; rez^f ; Grupo de Trabajo RED7
• 关键词：Benchmarking ; Urgencias ; Evaluació ; n de proceso
• 刊名：Revista de Calidad Asistencial
• 出版年：2011
• 出版时间：September-October 2011
• 年：2011
• 卷：26
• 期：5
• 页码：285-291
• 全文大小：158 K

Objective

To identify and to share the results among hospitals regarding the process of attention at the Emergency Unit, and to detect the practices that explain the differences.

Material and method

Setting: 7 hospitals of different regions in Spain. Period of study: 2005-2007. Firstly the comparability criteria were defined assuring the homotecia in the ?emergency process?. In order to fulfil the study objectives, 11 criteria were selected and every center sent the information of each one. 7 indicators were identified to compare hospitals processes? Data regarding all the attentions provided during the study period was analyzed, establishing the benchmark among the centers. Finally, a questionnaire was elaborated for the process analysis, considering all the stages of the process, the resources and the procedures used in every stage, to be fulfilled in each hospital.

Results

The homotecia has been verified in the 7 hospitals, with some differences between centers. 7 indicators have been analyzed in the different hospitals, corresponding to 1?526?890 patients attended in the study period. A benchmark has been identified, with the best results in four of seven indicators: % of admissions from urgencies: 8.3 % , emergency pressure: 56.14 % , emergency length of stay: 2 hs 20 min, and % of patients with length stay > 24 h: 0.05 % . Differences between the stages of the process, resources and procedures used in every stage in the benchmark center have been analyzed.

Conclusions

A set of indicators to compare Emergency Departments has been identified, letting us establish the benchmark.