信息化助力急诊流程改善的设计与实践

Design and practice of an electronic triage system in emergency process improvement

目的:设计急诊科分诊信息体系,并评价其改善急诊流程的实践效果。方法:基于急诊科的临床现状,以急诊科突出的管理问题为出发点建立分诊信息体系,进行了急诊科管理模式的改进。结果:改善流程后100%的Ⅰ级患者、100%Ⅱ级患者、96.6%的Ⅲ级患者和89.1%的Ⅳ级患者的等候时间未超过相应级别的等候时间;患者对就诊环境、就诊过程总体满意度由85.0%上升至92.8%;急诊医务人员工作满意度由82.0%上升至91.1%。结论:急诊科改善急诊流程后,临床现状得到改善,管理质量得到提升。

Objective:To design a triage information system of emergency department,and evaluate the application effect on emergency process improvement.Methods:To solve the exited prominent management problems in emergency department,the management model was improved with a triage information system.Results:The waiting time of 100%triage category I and category II patients,96.6%triage category III patients and 89.1%triage category of IV patients was less than they should.The overall satisfaction of the patients with the environment and medical treatment process increased from 85.0%to 92.8%.Job satisfaction of emergency medical staff increased from 82.0%to 91.1%.Conclusion:The improving of emergency process with the triage information system was benefit to improve the quality of emergency management.