儿科评估三角在儿科急门诊分诊的应用效果

Effects of pediatrics assessment triangle in outpatient pediatric emergency triage

目的探讨儿科评估三角(PAT)在儿科急门诊应用后对儿科急门诊延误诊治率和患儿及家长满意度的影响。方法选取儿科急门诊280例患儿作为研究对象,采取随机数字表法将其分为两组,每组140例。观察组患儿应用PAT实行预检分诊干预,对照组患儿则采取常规诊治。比较两组患儿儿科急门诊延误诊治率、分诊评估用时、医疗纠纷发生率、患儿及家长满意度。结果观察组分诊评估用时为(70.57±16.78)s,短于对照组(P<0.05)。观察组急门诊延误诊治率(1.43%)、医疗纠纷发生率(0.71%)均低于对照组(P<0.05);观察组患儿及家长满意度(96.43%)高于对照组(87.14%)(P<0.05)。结论 PAT应用于儿科急门诊分诊中可有效降低儿科急门诊延误诊治率,保障医疗安全,有助于提高患儿及家长满意度,减少医疗纠纷,值得推广应用。

Objective To investigate the effects of the application of pediatrics assessment triangle on the rate of delayed diagnosis and the satisfaction of children and parents in outpatient pediatric emergency. Methods A total of 280 cases of patients children in outpatient pediatric emergency were selected and divided into two groups by the random number table method, with 140 cases in each group. The patients in the observation group were given pediatrics assessment triangle （PAT） implementation for triage intervention, and the patients in the control group were treated by normal treatment. The rate of delayed diagnosis, diagnosis and evaluation, the incidence of medical disputes and the satisfaction of the children and parents were compared between the two groups. Results The triage assessment time of the observation group [ （70. 57± 16. 78） s]was shorter than that of the control group [ （ 123.46±20. 35） s] （P 〈0. 05） ; the rate of delayed diagnosis of the observation group （1.43%）, the incidence of medical disputes （0. 71% ） were respectively lower than those of the control group （8.57%, 5% ） （P 〈0. 05） ; the satisfaction rate of children and parents in the observation group （96.43 % ） was higher than that of the control group （87. 14% ） （P 〈 0. 05 ）. Conclusions The application of PAT in pediatric emergency outpatient triage can effectively reduce the diagnosis and treatment rate of pediatric emergency outpatient service, ensure medical safety and help improve the satisfaction of children and parents, reduce medical disputes, which is worthy of popularization and application.