Effect of Crowding and Nurse Staffing on Time to Antibiotic Administration for Patients with Pneumonia in an Emergency Department / 간호행정학회지
Journal of Korean Academy of Nursing Administration
; : 107-117, 2018.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-740864
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
This study was conducted to identify the effect of crowding and nurse staffing on time to antibiotic administration for pneumonia patients in an emergency department (ED).METHODS:
The sample included pneumonia patients visiting an ED from November 1, 2014 to February 28, 2015. Crowding was measured using ED occupancy rate, nurse staffing was measured as total length of stay per nurse and number of patients per nurse and the time duration was measured for the following processes from patient arrival to prescription, from prescription to blood culture and antibiotic administration, and from blood culture to antibiotic administration. Data collected from the electronic medical records were analyzed using multivariate analyses.RESULTS:
The mean times from arrival to antibiotics administration, from prescription to antibiotic administration, and from blood culture to antibiotic administration were 128.31, 47.29, and 15.60 minutes, respectively. Crowding, nurse staffing, work experience of the nurse and severity of the patient influenced the time duration of each process from patient arrival to antibiotic administration.CONCLUSION:
The results reveal that crowding and nurse staffing affect length of time to antibiotic administration in pneumonia patients. Guidelines for safe nurse staffing in ED are required to improve patient outcomes.
Texto completo:
Disponível
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Objetivo 6: Sistemas de informação em saúde
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumonia
/
Aglomeração
/
Análise Multivariada
/
Enfermagem em Emergência
/
Emergências
/
Serviço Hospitalar de Emergência
/
Prescrições
/
Registros Eletrônicos de Saúde
/
Tempo de Internação
/
Antibacterianos
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Academy of Nursing Administration
Ano de publicação:
2018
Tipo de documento:
Artigo