论文部分内容阅读
目的:探讨《急诊患者病情分级指导原则》在急诊分诊管理中的价值。方法:选取2012年在浙江省温岭市第一人民医院急诊科就诊的患者为观察组,选取2013年在浙江省温岭市第一人民医院急诊科就诊的患者为对照组。观察组采用《急诊患者病情分级指导原则》作为分诊管理指导原则,对照组采用既往常规分诊方法。比较两组分诊准确率、候诊患者病情变化率、护患纠纷发生率、患者投诉率、分诊时间及患者候诊时间。结果:观察组分诊准确率显著高于对照组,候诊患者病情变化率显著低于对照组(P<0.05);观察组护患纠纷率和患者投诉率显著低于对照组(P<0.05);观察组分诊时间和患者候诊时间均显著低于对照组(P<0.05)。结论:采用《急诊患者病情分级试点指导原则》进行急诊分诊管理,可提高分诊准确率,降低投诉率,提高急诊工作效率。
Objective: To explore the value of “Guiding Principles of Emergency Patient Grading” in emergency triage management. Methods: The patients treated in the Emergency Department of First People ’s Hospital of Wenling City in Zhejiang Province in 2012 were selected as the observation group. The patients treated in the emergency department of First People’ s Hospital of Wenling City in Zhejiang Province in 2013 were selected as the control group. The observation group adopted the “Guiding Principles of Emergency Patient Grading” as guidelines for triage management, while the control group adopted the conventional triage method. The diagnostic accuracy of the two groups were compared, the rate of change of the patient’s condition, the incidence of nurse-patient disputes, the complaint rate of patients, the time of consultation and the waiting time of patients. Results: The diagnostic accuracy of the observation group was significantly higher than that of the control group, and the rate of change of the patients in the waiting group was significantly lower than that of the control group (P <0.05). The rate of patient disputes and complaint rate in the observation group was significantly lower than that of the control group (P <0.05) ; Observation group consultation time and patient waiting time were significantly lower than the control group (P <0.05). Conclusion: The emergency management guidelines for emergency diagnosis of patients with emergency classification can improve the accuracy of triage, reduce the complaint rate and improve emergency work efficiency.