急救小组模式在急危重症患者抢救中的应用效果

The effect of emergency group mode in the salvage of critically

目的:探讨急救小组模式在急危重症患者抢救中的应用价值。方法:比较2014年1-12月和2015年1-12月传统急救模式与急救团队小组模式在急危重症患者抢救中所需的时间、抢救成功率及死亡率;患者、家属及医生对护士配合的满意度;医疗纠纷的发生率等。结果:采用急救小组模式后抢救的有效时间以及确诊疾病到送达相应专科治疗的时间明显缩短;抢救成功率明显提高,死亡率显著下降;患者及医生对护士配合的满意度均明显提高;急救中医疗纠纷的发生率明显下降(P<0.05)。结论:急救小组模式能缩短急危重症患者的抢救时间,提高抢救成功率,降低死亡率,提高患者及医生对护士的满意度,减少急诊抢救时医疗纠纷的发生率。

[Objective] To explore the practical value of emergency group mode in the salvage of critically ill patients,[Method]1) Change the traditional salvage mode with a newone that centers on an emergency care group consisting of senior nurses and doctors.2) Compare the traditional salvage mode and emergency group mode in the salvage of critically ill patients from January to December,2014 and from January to December,2015 regarding the time cost,the success rate and death rate,the satisfaction of patients,their families and doctors with nurses' cooperation,and the occurrence rate of medical disputes.[Result]The time required for effective salvage (from respiratory or cardiac arrest to stable vital signs) and the time from confirmed diagnose to delivery to corresponding departments were shortened obviously with emergency group mode,and the differences between the two groups were significant.With emergency group mode,there was a significant increase of success rate and anoutstanding drop of death rate; both patients and doctors had an obviously increased satisfaction with nurses' cooperation; and there was a dramatic decline in the occurrence of medical disputes,with significant differences between the two groups.[Conclusion]The emergency group mode can help shorten the time required for effective salvage,increase success rate of salvage and decrease death rate,improve patients and doctors' satisfaction with nursesand reduce the occurrence of medical disputes.