儿科急诊分诊护理应答措施的改进效果

To improve the effect of pediatric emergency triage nursing response measures

目的:探讨和研究儿科急诊分诊护理应答措施改进的效果,为护理分诊制度的改进提供依据。方法:选择2012年全年(实施前)儿科急诊收治的18 976例患儿及2013年全年(实施后)收治的20 131例患儿,于2013年起改进分诊护理应答措施,对实施前后的风险事件发生率及满意度进行调查对比。结果:实施后风险事件发生率为0.05‰(1/20 131),显著低于实施前的0.32‰(6/18 976),差异有统计学意义(P<0.05);实施后患儿家属、医护人员的满意度均显著提高(P<0.05)。结论:儿科急诊分诊护理应答措施的改进能够有效的提高医护人员的风险防范意识,减少风险事件的发生,全面提高了护理质量,值得在临床上推广和应用。

Objective To explore and study the pediatric emergency triage nursing response measures to improve the effect,provides the basis for improving the nursing triage system.Methods The study subjects selected for the full year of 2012（prior to the implementation of 18 976 patients） and full year 2013 pediatric emergency treated（after the implementation of 20 131 cases were children）,starting in 2013,improved triage nursing measures of response,before and after the implementation of risk event rate and satisfaction survey contrast.Results After the implementation of risk occurrence rate of 0.05 per thousand（1/20 131）,significantly lower than before the implementation of the 0.37 per thousand（7/18 976）,with significant difference（P〈0.05）;after the implementation of the child＇s family,the satisfaction degree of doctors and nurses were significantly increased（P〈0.05）.Conclusion The improved pediatric emergency triage nursing response measures can improve medical staff effective risk prevention awareness,reduce the risk of incident,and comprehensively improve the quality of nursing,worthy of clinical popularization and application.