未完成就醫程序提早離開急診之病患

Patients Who Leave Emergency Departments Prematurely

廖訓禎(Shiumn-Jen Liaw) ； 胡百敏(Pai-Min Hu) ； 廖浩欽(How-Chin Liao)

《中華民國急診醫學會醫誌》 4卷2期 (2002/06) Pp. 40-50

摘要

未完成就醫程序而提早離開急診之病患包含了告知醫療人員的自動出院與未告知醫療人員的自行離院兩大類，前者又可分為非病危與病危自動出院，後者則分未經診視及診視後自行離院。國外研發現此類病患在個人特質與就醫情況上具有某些共通點，顯示此類行為之發生受到病患與環境雙重相關因素之顯響。台灣地區對此類現象僅有少數相關研究報告，而國外研究亦極少提及因病危、無床或轉院之自動出院及診視後自行離院，但我們的臨床經驗卻發現此類病患並不少，顯示本國之醫療環境及病患就醫行為傾向與國外有差異。

關鍵字

未完成急診就醫程序 ； 急診部門 ； 自動出院 ； 自行離院

並列摘要

There are two kinds of patients who leave emergency departments prematurely without completing the ED procedures: informed discharges (AADs) and uninformed discharges. Informed discharges include non-critical AADs and critical AADs; uninformed discharge include patients LWBS (leaving without being seen) and patients who escape. Foreign researche has indicated that the latter kind of patient has some particular personal characteristics which are triggered in special medical situation, which means that patient traits and the circumstances they find themselves in can lead to this behavior. There are quite a few foreign reports which mention no-bed-AADs and transfer-AADs, but there are few reports for Taiwan. As the medical circumstances of Taiwan are not totally similar to foreign situations, we can not refer to theirs experiences to guide our practice, and we need more of our own studies which focus on these issues.

並列關鍵字

ED leave prematurely ； Non-critical ADD ； Leaving Without Being Seen ； Escape