急诊成人输液室流量变化特征分析与对策

Analysis of Flow Changes and Countermeasures in the Adult Infusion Room of Emergency Department

摘要: 目的：通过调查某三级甲等医院急诊成人输液室患者流量和拥挤程度，明确患者流量变化规律，为改善急诊拥挤状况和护理质量提供依据。方法：选择2023年1月~12月某三甲医院急诊输液室就诊的14岁及以上患者，分析急诊成人输液室患者流量在每日、每月及重要节假日的变化节律。结果：急诊成人输液室24 h流量高峰在10:00~14:00，低谷在4:00~6:00；冬季是全年急诊流量最高季节，秋季次之，春季最少。8、10、12月为流量高峰期；节假日流量在中秋及国庆节略增加，其他节假日日均流量与非节假日持平。结论：不同时间段的急诊输液室资源需求不同，应根据就诊患者流量变化规律，掌握急诊输液室高峰就诊时间段，合理调整人力资源，以提高护理效率和质量。

Abstract: Objective: By investigating the patient flow and congestion levels in the adult infusion room of the emergency department in a tertiary hospital, this study aims to identify patterns in patient flow variations and provide a basis for improving emergency congestion and nursing quality. Methods: Patients aged 14 and above who visited the emergency infusion room of a tertiary hospital from January to December 2023 were selected. The study analyzed the daily, monthly, and significant holiday variations in patient flow in the adult infusion room. Results: The 24-hour peak flow in the adult infusion room occurred between 10:00~14:00, with the lowest flow between 4:00~6:00. Winter had the highest annual emergency flow, followed by autumn, with spring having the least. August, October, and December were peak months for patient flow. During holidays, there was a slight increase in flow during the Mid-Autumn Festival and National Day, while the daily average flow on other holidays was similar to non-holidays. Conclusion: The demand for resources in the emergency infusion room varies at different times. Understanding the peak visiting hours and adjusting human resources accordingly based on the patient flow patterns can enhance nursing efficiency and quality.