主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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门诊设置专岗接获危急值管理方法的探讨

庄广云 杨秀敏 刘雪双 吕守英   

  1. 泰山医学院附属聊城市第二人民医院门诊部
  • 出版日期:2015-08-25 发布日期:2015-08-25

The effects of special posts setting to manage panic value in outpatient service

  • Online:2015-08-25 Published:2015-08-25

摘要: 目的:探讨专岗接获门诊危急值的管理方法。方法:在门诊设置专岗接获危急值管理前,门诊危急值的接获由各诊室的出诊医师负责;改进后,设接获门诊危急值的岗位,选择合适的护理人员从事这项工作,制定危急值管理制度、工作流程。对门诊危急值管理存在的问题进行原因分析,提出整改措施并逐步实施,达到持续改进的效果。结果:门诊危急值设专岗专人管理,实行双重报告制前后门诊危急值漏登记、登记缺项、登记错误率分别由20.1%、52.5%、39.0% 降至0.4%、2.4%、1.3%,差异有统计学意义(P <0.05);改进前后联系不到患者、联系不到医师、处理不及时的概率分别由14.7%、4.6%、6.2% 降至4.1%、0.8%、1.1%,差异有统计学意义(P <0.05)。结论:设专岗专人管理门诊危急值,规范了门诊危急值的报告处置流程,增强了医、护、技各类人员对危急值的重视程度,确保了患者就医安全,降低了医疗风险,提升了医院的服务水平及管理水平。

Abstract: Objective: To explore the effects of special posts setting in management of panic value in outpatient service. Methods: Before the improvement, the panic values of outpatient were received and managed by different doctors in different clinical visits rooms. The special position of panic value reception was set after improvement. They selected the proper nurses for this position, and developed panic value management system and work flow. Then they analyzed existing problems and reasons,proposed corrective measures and gradually implemented interventions to achieve continuous improvement. Results: The defect rates of panic value record were compared before and after the special posts setting. The rates of missing records, incomplete records and error decreased from 20.1%, 52.5%, 39.0% to 0.4%, 2.4%, and 1.3%, respectively (P<0.05). The defect rates of panic value treatment, including contact failure with patients, doctors, and delaying treatment, decreased from14.7%, 4.6%, 6.2% to 4.1%, 0.8%,and 1.1%, respectively (P<0.05) . Conclusion: Management process of panic value in outpatient service was standardized since the setting of special posts for panic value reception. It enhanced the attention level of the medical, nursing, and technical staff on panic value, ensured patients' safety, reduced the medical risk, and improved the service and management level of hospital.