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Analys av resursbehovet per patient på akutmottagningen vid Karolinska Universitetssjukhuset Solna
KTH, School of Technology and Health (STH).
KTH, School of Technology and Health (STH).
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Analysis of resourse requirements per patient in the emergency department at Karolinska Universitetssjukhuset Solna (English)
Abstract [sv]

Personalen på akutmottagningen vid Karolinska Universitetssjukhuset Solna har under de senaste åren känt av en högre arbetsbelastning trots att antalet patienter under senare år inte ökat. Karolinska Universitetssjukhuset har inte någon metod för att analysera resursbehovet hos olika patientgrupper och skillnaden mellan dessa. Projektet handlade därmed om att ge Karolinska Universitetssjukhuset en bättre förståelse för olika patienters resursbehov i form av en resursåtgångsmodell. Denna modell skapades genom diskussioner med personal och analys av data från Karolinskas interna datalager, Karda. Från detta skapades en patientgruppsuppdelning med syfte att gruppera patienter med likartade resursbehov. Tidsstudier samt enkäter genomfördes och sammanställdes på akutmottagningen för att framta viktig information. Analys av resultaten som erhölls tyder på att patienter under de senare åren har blivit mer sjuka och därmed mer resurskrävande för sjukhuset. En resursåtgångsmodell skapades vilken kan analysera och jämföra patienters vårdtyngd med varandra via tre parametrar; prioritet och övervakning, vistelsetid och jourtillägg. Dock kan inte denna modell i nuläget analysera alla parametrar samtidigt, utan endast var för sig. För att kunna analysera parametrarna samtidigt behöver modellen och beräkningarna revideras. Detta skulle kunna vara ett fortsatt arbete inom området.   

Abstract [en]

The staff of the emergency department at Karolinska Universitetssjukhuset Solna has in recent years experienced a higher workload, although the number of patients has not increased. Karolinska Universitetssjukhuset do not possess a set method to analyze the resource needs of different patient groups, and the difference between them. The project would thus give Karolinska Universitetssjukhuset a better understanding of different patients' resource needs in the form of a resource consumption model. This model was created through discussions with staff and analysis of data from Karolinska's internal data warehouse, Karda. From this a patient group distribution was created with the aim of grouping patients with similar resource needs. Time studies and surveys were conducted and compiled at the emergency department to generate important information. Analysis of the results obtained suggests that patients have, in recent years, become more ill and therefore more costly for the hospital. A resource consumption model has been created which can analyze and compare the patients' burden of care with one another by three parameters. These are priority and monitoring, period of residence and on-call salary increment. However, this model is not currently able to analyze all parameters simultaneously, only individually. In order to analyze parameters simultaneously the model and calculations would need to be revised. This could be a continuous study for further work in this specific area.  

Place, publisher, year, edition, pages
2016. , 36 p.
Series
TRITA-STH, 2016:32
Keyword [sv]
Medicinsk Teknik, Resursbehov, Resursåtgång, Karolinska, Karolinska Universitetssjukhuset Solna, akutmottaning
National Category
Medical Engineering
Identifiers
URN: urn:nbn:se:kth:diva-190732OAI: oai:DiVA.org:kth-190732DiVA: diva2:952481
Subject / course
Medical Engineering
Educational program
Master of Science in Engineering - Medical Engineering
Supervisors
Examiners
Available from: 2016-08-14 Created: 2016-08-14 Last updated: 2016-08-14Bibliographically approved

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