5级国际预检系统在急诊内科分诊中的应用

The application of 5 level national triage system in emergency medical triage

目的：探讨5级国际预检系统（5L NTS）在三级甲等医院急诊内科中实际应用效果。方法：采用随机抽样,观察组依据5L NTS标准进行分诊,对照组采用传统标准分诊,分别观察并比较2组间患者分诊失误率、候诊等候时间及就诊满意度。结果：观察组患者分诊失误率为1.0%,对照组为9.2%,2组患者分诊失误率差异有统计学意义（P〈0.05）；观察组平均每例患者的候诊时间为（7.44±7.00）min,对照组为（10.12±9.44）min,2组差异有统计学意义（P〈0.05）；观察组对候诊等候时间满意度、医院整体医疗服务满意度和医生诊疗服务满意度均高于对照组（P〈0.05-P〈0.01）。结论：5L NTS能有效降低预检护士分诊失误率,降低不良事件的发生,缩短患者候诊时间,提高了就诊满意度。

Objective：To explore the application effects of 5 level national triage system（5L NTS） in emergency internal medicine in a First-class hospital at Grade 3. Methods：The patients were randomly divided into the experimental group and control group,which were classified using 5 level national triage system and traditional standard triage,respectively. The triage failure rate,waiting time and satisfaction of patient in two groups were observed. Results：The triage failure rates of the experimental group and control group were 1.0% and 9. 2%,respectively,the difference of which was statistically significant（P 〈0. 05）. The average waiting time of the experimental group and control group were（7. 44 ±7. 00） min and（10. 12 ±9. 44） min,respectively,the difference of which was statistically significant（P〈0. 05）. The satisfaction during waiting,overall hospital medical service satisfaction and physician service satisfaction in experimental group were significantly higher than those in control group（P〈0. 05 to P〈0. 01）. Conclusions：Five level national triage system can effectively reduce the nurse triage failure rate and incidence of adverse event, shorten the waiting time of patient,and improve the patients’satisfaction.