广州市35家三甲综合医院急诊分诊模式调查研究

Investigation of the triage model in the emergency department consists of 35 triple A comprehensive hospitals in Guangzhou city

目的:了解广州市三甲综合医院急诊科的分诊模式,为完善广州市三甲综合医院急诊科的分诊体系提供依据。方法:通过自行设计的广州市三甲综合医院急诊分诊模式调查表,对广州市35家三甲综合医院急诊科进行调查。结果:54.3%的医院有参照卫生部的分诊指导原则统一分诊标准;74.3%的医院制定分诊流程;65.7%的医院有分诊护士准入制度;48.6%的医院对分诊质量进行评价;各大医院对急诊设施的配备欠统一。结论:我们应在卫生部公布的《急诊病人病情分级试点指导原则》的指导下,结合本地区的具体情况,借鉴国内外先进经验,进一步完善分诊体系,统一标准,为患者提供便捷、高效、安全的急诊护理服务。

Object：Study the triage model of emergency departments , and provide basis for improving this triage system of triple A comprehensive hospitals in the Guangzhou city.Method：Though filling out and analysing self-designed the questionnaire to the triage mode in emergency department of triple A comprehensive hospitals in Guangzhou city,we investigate the triage model in the emergency department consists of 35 triple A comprehensive hospitals in the Guangzhou city.Result：It shows that 54.3% of the hospitals involved setup uniform triage standards referencing to the Ministry of Health hospital triage guidelines; 74.3% of hospitals have developed triage process; 65.7% of hospital nurses attend access system; 48.6% of hospitals have performed triage quality evaluation;hospitals for emergency facilities remain Not uniform.Conclusion：It should setup a Unified standard and improve the triage system though following the direction of Guiding Principle of Grading Pilot Emergency Patients published by the Ministry of Health,combining with the specific circumstances of the region,referring to the domestic and foreign advanced experience. And provide patients with convenient, efficient and safe emergency care services truly.