三级访视制度在医院危重患者护理管理中的应用效果

Implementing three-level visit system in critical patients' management

目的:探索三级访视制度在危重患者护理管理中的作用。方法:自2010年10月起,我院采取三级访视制度(即护士长、科护士长、护理部三级)对全院危重患者进行管理,记录采用三级访视制度后危重患者的护理质量,并于访视中提出建议。结果:实行三级访视制度后,2010年10月至2011年12月,危重访视小组成员共访视危重患者1189例。2010年10-12月,危重患者月护理质量得分从最初的97.64分提高到99.05分,并于2011年持续维持在99分左右;重症访视小组成员在危重患者专科护理和并发症预防方面提出的建议逐渐增多,专科护理方面由每季度0增加为26条,并发症预防方面由每季度18增加为47条。结论:三级访视制度是加强全院危重患者管理的有效方法,提高了患者的护理质量,加强了对危重患者的专科护理。

Objective： To explore the effect of three-level visit system in critical patients＇ management. Methods： We implemented three-level visit, so called unit, division and department level visit, to critical patients from all departments of our hospital since October, 2010. In department level, we organized a group of professional experts from different divisions to supervise critical patients if needed. We call them Critical Care Supervision Team （CCST）. Nursing care quality, suggestions raised by professional visitors, and patients＇ demographic data were collected and analyzed. Results： Since three-level visit system implemented, 1189 critical patients were visited from October, 2010 to December, 2011 by the CCST. From October, 2010 to December, 2010,The nursing quality score for critical patients increased from 97.64 to 99.05, and then maintain at this level. Moreover, more suggestions were given to the staff nurses to provide better specialized care for critical patients, from 0 to 26 per quarter of a year. Conclusion：Three-level visit for critical patients was an effective method to enhance patients management and care quality.