即时绿色通道在院内急诊工作中的应用效果

Effect of instant green channel in emergency department

目的探讨即时绿色通道在院内急诊工作中的，临床应用效果及对患者预后与生存质量的影响。方法将经绿色通道收治的77例急诊患者（观察组）与既往未开通即时绿色通道时处理的77例急诊患者（对照组）进行比较。对照组在常规急诊流程下进行抢救，观察组在即时绿色通道急诊流程下救治。比较两组抢救效率（实施初步救治时间、急诊留滞时间、得到辅助检查结果时间、得出确定性诊断时间、实施确定性治疗时间等指标）、预后情况、生存质量评分及急诊满意度。结果观察组实施初步救治时间、急诊留滞时间、得到辅助检查结果时间、实施确定性治疗时间均短于对照组，观察组生存质量评分高于对照组，差异有统计学意义（P〈0．05）；观察组预后优良率、急诊满意度（93．51％、94．81％）均高于对照组（80．52％、83．12％），差异有统计学意义（P〈0．05）。结论开通即时绿色通道可有效提高急诊工作效率，缩短抢救时间，进而有利于改善患者预后及生存质量，且患者与家属急诊满意度高。

Objective To investigate the effect of instant green channel in emergency work and influence on prognosis and survival quality of patient. Methods Seventy-seven emergency patients （observation group） admitted in hospital through the instant green channel were compared with another 77 emergency patients （control group ） admitted when instant green channel was not open. Patients in control group were rescued through conventional procedure, while patients in observation group were res- cued through instant green channel emergency treatment process. Rescue efficiency （preliminary treat- ment time, emergency treatment retention time, auxiliary examination results time, time of confirmed di- agnosis, definitive treatment execution time）, prognosis, quality of life and emergency treatment satisfac- tion of two groups were compared. Results Preliminary treatment time, emergency treatment retention time, auxiliary examination results time and definitive treatment execution time of observation group all were shorter than those in control group, the quality of life score in observation group was higher than that in control group, the differences were statistically significant （ all P 〈 0. 05 ） ; in observation group, the excellent rate of prognosis （ 93.51% ） and emergency work satisfaction （ 94. 81% ） were higher than those in control group （ 80. 52%, 83.12% ）, the differences were statistically significant （ P 〈 0.05 ）. Conclusions Instant green channel can effectively improve the work efficiency, shorten rescue time, so as to improve the prognosis and quality of life of patients, and get high satisfaction of patients and their families.