两种预检分诊模式对三级综合医院儿科急诊分诊质量的影响

Influences of two pre-triage modes on the quality of pediatric emergency triage in tertiary general hospital

目的探讨两种预检分诊模式对三级综合医院儿科急诊分诊质量的影响,建立系统化的预检分诊模式,优化分诊流程,提高分诊质量。方法将2014年1-3月在我院就诊的72 821例患儿设为对照组,采用传统预检分诊模式分诊;将2014年10-12月在我院就诊的78 135例患儿设为研究组,采用系统化预检分诊模式分诊。比较两组间的分诊准确率、抢救成功率、死亡率、纠纷发生率及候诊意外发生率。结果研究组患儿的分诊准确率为96.28%,高于对照组的81.22%;两组间抢救成功率、死亡率、纠纷发生率、候诊意外发生率等差异均有统计学意义(P<0.05)。结论系统化预检分诊模式在分诊标准、分诊流程、分诊工具、人员配备等方面均有很大程度的优化,可以提高分诊准确率和抢救成功率,降低死亡率、纠纷发生率和候诊意外发生率,促进患儿就诊全过程的安全。

Objective To study the influences of two pre-triage modes on quality of pediatriemergency triage in tertiary general hospital,and to establish a systematic pre-triage mode,optimize the triage process and improve the quality of triage. Methods 72821 child patients in our hospital from January 2014 to March 2014 was selected as con- trol group and adopted the traditional mode of pre examination triage; 78135 child patients in our hospital from October 2014 to December 2014 was selected as experimental group and adopted the system mode of pre examination triage. The triage accuracy rate, success rate, mortality, incidence of accidents and disputes waiting rescue rate was compared between the two groups. Results The triage accuracy in the observation group is 96.28%,and 81.22% for control group. The rescue survival rate, the values of mortality rate, the incidence of disputes and waiting accident rate was significant difference between the two group （P 〈 0.05）. Conclusions The systematic pre-triage mode has provided a large degree of optimization in aspects of triage criteria, triage process, triage tools, personnel allocation, etc, which could improve the accuracy of triage and the rescue success rate, reduce mortality rate, incidence disputes and the waiting accident rate. The most important was to promote the safety of children patients in the whole treatment process.