固定专科护士分诊对分诊质量的影响

Impact of fixed specialist nurse triage on the quality of triage

目的探讨固定专科护士分诊对提高门诊分诊质量的影响。方法将分诊护士分为固定专科护士组（A组）和门诊部轮转护士组（B组），每组分别对内科门诊就诊患者进行分诊5d，然后对2组分诊错误人数和医生平均每日超时数进行比较。结果A组分诊3806人，分诊错误165人，B组分诊3812人，分诊错误308人；A组医生平均每日超时（5．24±0．37）h，B组医生平均每日超时（8．16±0．58）h，2组在分诊错误、医生平均每日超时数比较差异有统计学意义。结论固定专科护士分诊能明显提高门诊分诊质量。

Objective To investigate the influence of fixed nurse specialists triage to improve the quality of patient triage. Methods Nurses were divided into the fixed nurse specialist triage group （group A） and the out-patient department rotation nursing group （group B）, respectively, each group was responsible for triage of patients in clinic of medical department for five days. Then the number of two subdiagnosis error and the average daily working overtime for doctors were compared. Results A total of 3806 patients were in clinic triage in group A, 165 patients had triage error. A total of 3812 patients were in clinic triage in group B, 308 patients had triage error. The average daily working overtime of doctors in group A was（5.24 ± 0.37）hours, and（8.16 ± 0.58） hours in group B. The errors in triage and working overtime of doctors had significant differences between two groups. Conclusions Fixed specialist nurse triage can significantly improve the quality of patient triage in clinic.