急诊绿色通道在基层医院院前急救危重患者的应用体会

The Emergency Easy Access Application Experience of Critically Ill Patients in the Primary Hospital of Pre Hospital Emergency

目的评价急诊绿色通道在基层医院院前急救危重患者的作用,探讨基层医院院前急救危重病人的新管理模式、以提高急救效果和抢救成功率。方法制定院前急救危重患者绿色通道流程及诊疗方案,选择2013年2月—2015年11月期间该科所发生的330例采用绿色通道救治的院前急救危重患者,与历史同期按医疗常规完成治疗的300例传统治疗组对比。观察两组抢救时间、治愈率、死亡率、病人的满意度指标变化。结果绿色通道组与传统治疗组相比,差异有统计学意义(P<0.05)。结论建立基层医院院前急救危急重患者绿色通道能提高医疗质量,值得基层医院推广。

Objective To evaluate the emergency green channel in front of the grass-roots hospital emergency critically ill patients, to explore how the grass-roots hospital emergency critically ill patients, the new management model, in order to improve the success rate of emergency treatment and rescue. Methods Formulation of pre hospital emergency critically ill patients with green channel process and treatment programs, selection in 2013 February 2015 Norember our department during the period of the occurrence of 330 cases using the green channel for rescue of the hospital first aid in critically ill patients, with the same period in history according to conventional medical complete treatment of 300 cases of traditional treatment group comparison. Observe two groups of rescue time, change cure rate, mortality rate, patient satisfaction index.Results Easy Access group compared with the conventional treatment group, the difference was statistically significant（P〈0.05）. Conclusion The establishment of hospital first-aid of severe patients Easy Access can improve the quality of care,worthy of promotion in primary hospital.