快速分诊评估系统在急诊患者中的应用

Application of quick triage assessment system in emergency patients

目的研究针对急诊患者的快速分诊评估系统，建立评估模式及方法，筛选评估指标和内容，帮助分诊护士准确快速辨识急危重患者，使其得到及时救治，优化使用急救医疗资源。方法筛选目标人群，采集相关资料研究分析，设计建立研究模型，采集涵盖急诊患者危急重症主要表现和特征的评估指标及内容，选择确定急诊分诊评估指引系统的表达形式。结果将研究选定的评估指标、评估内容采用表格化形式表达，建立急诊护士．决速分诊指引评估表，指导护士分诊工作。结论本研究设计的急诊护士快速分诊指引评估表，简洁直观、使用方便，能有效地提高护士分诊工作质量，具有一定实用性、科学性和创新性。兼顾到以有限的急救医疗资源取得优质的急诊医疗服务的结果，具有一定的社会效益和经济效益。

Objective To study the quick triage assessment system for emergency nurse, establish evaluation model and method, select indicators and contents, guide triage nurses to be accurate, fast, conve- nient and practical, and also to optimize the use of emergency medical resources. Methods Screening the target population to conduct the research, collecting main indicators and features covered with main symptom and characteristics of severe critical emergency patients, selecting manifestation form of triage assessment system. Results The selected indicators and contents were demonstrated by a table-based form, and the quick triage assessment form for emergency nurse was established to instruct triage work. Conclusions This established quick triage assessment form is simple, intuitive and can improve the quality of emergency triage work. It possesses feasibility, practicality and achieves the optimal medical services with the limited emergency medical resources, which shows both social and economic effect.