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标准化二次分诊模式在普通急诊患者候诊管理中的应用 被引量:12

Application of standardized secondary triage mode in the emergency waiting patients
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摘要 目的:调查标准化二次分诊模式在普通急诊候诊患者中的应用效果。方法:采用方便抽样法抽取普通急诊候诊患者4320例为对照组,实施常规巡诊模式二次分诊;4543例为观察组,实施标准化模式二次分诊。比较两组普通急诊患者候诊满意度及候诊期间意外事件发生率。结果:观察组普通急诊患者候诊满意度中的候诊服务、人文关怀及总体满意度均高于对照组(P〈0.05),候诊环境无统计学差异;候诊期间意外事件发生率低于对照组(P〈0.05)。结论:标准化二次分诊模式早期识别和干预普通急诊候诊患者中“潜在危重病患者”,动态调整就诊次序及去向,可以使患者及时得到救治,实现再分诊准确性及有效性,保障医疗安全,提高患者候诊满意度。 Objective: To analyze the effect of the application of standardized secondary triage mode in the emergency waiting patients. Method: Totally 4320 patients were assigned to control group by convenient sampling method, and 4543 emergency waiting patients were assigned to observed group. The patients in the control group received routine secondary triage. In contrast, the patients in the observed group received standardized secondary triage. Analyze and compare the waiting patient satisfaction and incidence of accident between two groups. Results: The satisfaction rate on service, humanistic care and overall satisfaction in the observed group were higher than the rates from control group (P〈0.05). The incidence of accident of the observed group was lower than the control group (P〈0.05). Conclusions: The standardized secondary triage mode provides early identification and intervention to recognize "potential critical patients" in the emergency waiting patients, dynamically adjust the visiting sequence and destination, so that the patients can get timely treatment, achieve the effectiveness and accuracy of secondary triage, protect the safety of medical treatment and improve patient satisfaction.
作者 郑若菲 金爽 郑春娥 叶诚栋 ZHENG Ruofei, JINShuang, ZHENG Chun'e, YE Chengdong(Fujian Emergency Medical Center, Fujian Emergency Medical Rescuing Center, Fuzhou, 350001 China)
出处 《中国护理管理》 CSCD 2016年第8期1098-1101,共4页 Chinese Nursing Management
基金 国家临床重点专科建设项目(急诊医学2012)
关键词 二次分诊 普通急诊 急诊候诊 患者满意度 意外事件 secondary triage emergency emergency waiting patient satisfaction incidence of accident
作者简介 郑若菲,硕士,主管护师,副护士长,Email:lpz505@163.com
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