常态化防疫背景下急诊预检分诊的管理策略

Management strategy of emergency triage under normal epidemic prevention

目的探讨常态化防疫背景下急诊预检分诊流程及管理策略。方法根据患者的流行病学史及症状对预检分诊路径进行改造,增设特殊诊间。运用大数据共享技术将患者健康码信息导入预检分诊系统。比较2020年1月—6月与2019年1月—6月接诊患者人次、入抢救室人次的变化趋势。比较新型冠状病毒肺炎疫情开始前、中、后期患者分级构成及不同时间段Ⅰ~Ⅳ级患者预检分诊耗时。结果2020年1月—6月急诊总接诊例次较2019年同期下降69.60%;入抢救室患者例数较2019年同比下降31.80%。疫情中期与前期相比,除Ⅰ级患者外,其他级别患者分诊耗时差异有统计学意义(P<0.05);疫情后期Ⅰ级、Ⅱ级患者分诊耗时与疫情前期比较,差异无统计学意义(P>0.05);Ⅲ级、Ⅳ级患者分诊耗时与前期比较,差异有统计学意义(P<0.05)。结论在常态化防疫背景下对预检分诊路径进行改进并运用大数据共享技术能提高急诊预检筛查的准确性和时效性。

Objective To discuss management strategy of emergency triage under the background of normal epidemic prevention.Methods According to the epidemiological history and symptoms of the patients,the triage path was modified and a special clinic room was added.The Internet big data sharing technology was used to import the patient health code information into the triage system.The trend changes of patient attendance and emergency room attendance from January to June of 2020 and 2019 were compared.Comparing the levels of patients and levelⅠ-Ⅳtriage time among different periods of the epidemic.Results From January to June 2020,the number of patients decreased by 52.54%compared with the same period in 2019,and the number of patients admitted to resuscitation room increased by 0.82%compared with that in 2019.The differences of triage time consuming for different triage levels except levelⅠwere statistically significant in the early and the middle period of the epidemic(P<0.05).The triage time for patients with levelⅠandⅡhad no statistical difference in the early and late period of the epidemic(P>0.05),while the triage time for levelⅢandⅣpatients was statistically different(P<0.05).Conclusion Under the normal epidemic prevention,the reformed triage path and the use of Internet big data sharing technology can improve the accuracy and timeliness of emergency triage process.