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目的:探讨危急值报告制度在心血管内科中的应用效果。方法:通过临床实验室信息管理系统,对浙江省义乌市中心医院心血管内科中的高危患者的危急值项目进行统计,建立危急值报告制度,包括制定危急值报告项目、成立危急值质量控制小组、设立危急值报告登记制度、完善危急值临床处理流程、加强科室间合作、合理调配人员管理等。结果:制定危急值报告制度后,2014年全年心内科病区共接收危急值报告112例,所有患者均能在15分钟内得到妥善处理,未出现漏登记、无复核、患者未签署知情同意书、无交班记录等情况,患者满意度为99.1%。结论:将危急值报告制度用于心血管内科,能够预见性地检测患者的危险情况,为实施抢救提供条件,提高了医疗服务质量,得到患者认可。
Objective: To explore the application of critical value reporting system in cardiovascular medicine. Methods: According to the clinical laboratory information management system, the critical value items of high risk patients in cardiovascular department of Yiwu Central Hospital of Zhejiang Province were counted, and the critical value reporting system was established, including the establishment of critical value reporting project, establishment of critical value quality control group , Set up the critical value report registration system, improve the critical value of the clinical treatment process, strengthen collaboration between departments, the rational deployment of personnel management. Results: After the report system of critical value was established, in 2014, 112 cases of critical value were received in the cardiology department of the whole year. All patients were properly handled within 15 minutes. There was no leakage registration, no review and patients did not sign the informed consent Books, no record of transfer and so on, patient satisfaction was 99.1%. CONCLUSIONS: The critical value reporting system is used in cardiovascular medicine. It can detect patients’ danger in a predictable manner, provide conditions for the rescue and improve the quality of medical service, and get the approval of patients.