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急诊预检分诊系统的应用及效果评价

范颖 袁秀群   

  1. 上海交通大学医学院附属仁济医院急诊科
  • 出版日期:2015-01-25 发布日期:2015-01-25

The application and effect evaluation of emergency triage system

  • Online:2015-01-25 Published:2015-01-25

摘要: 目的:采用急诊预检分诊系统对急诊患者进行预检分诊并进行效果评价。方法:采用方便抽样法抽取2012 年1、4、8 月每月100 名共计300 名来我院急诊就诊患者作为对照组,同样方法抽取2013 年1、4、8 月间来我院急诊就诊的300 例患者作为实验组,实验组采用急诊预检分诊系统对患者进行预检分诊。对两组危重症患者的等候时间、意外发生率、患者和医护人员的满意度进行比较。结果:实验组危重患者就诊等候时间明显缩短,急诊患者或家属满意度较对照组高,差异有统计学意义(P <0.05);实验组危重患者在候诊期间无一发生意外;医护人员对急诊预检分诊系统满意度较高。结论:采用急诊预检分诊系统能改善急诊就诊环境,缩短危重患者等候时间,降低危重患者在候诊过程中的意外发生率,使急诊就诊患者的满意度提高,急诊医护人员对此系统也有较高的评价,可在临床推广应用。

Abstract: Objective: To evaluate the effects of emergency triage system. Methods: With convenience sampling method,300 patients (100/month) visiting the emergency department in January, April and August 2012 were selected as the control group, and another 300 patients visiting the emergency department in January, April and August 2013 as the experimental group.After adopting the new emergency triage system in experimental group, the waiting time of critical ill patients, the occurrence of unexpected events and the satisfaction of both patients and emergency stuff were compared. Results: The waiting time of critical ill patients in experimental group was shortened significantly, and their satisfaction was higher comparing to the control group (P<0.05). The critical ill patients of the experimental group have no accidents during the waiting time. The medical stuff is quite satisfied with the new triage system. Conclusion: The new triage system is effective to improve the emergency department environment, shorten the waiting time of critical ill patients, reduce the rate of medical accidents and improve the satisfaction of the emergency patients. The medical stuff is satisfied with this new system and it worth spreading in the clinic.