基于流程分散策略的二次分诊模式在急诊患者候诊管理中的应用

Secondary triage mode based on process decentralized strategy in emergency waiting patients

目的 探讨基于流程分散策略的二次分诊模式在急诊患者候诊管理中的应用效果.方法 采用目的抽样法,选择2017年4—5月在急诊科就诊预检分诊为普通患者的候诊患者为对照组（n=2744）;2017年6—7月实施二次分诊模式后的普通候诊患者为试验组（n=2926）.比较两组患者候诊不良事件发生率和满意度.结果 试验组患者的候诊不良事件发生率为0.58%,对照组为1.93%,两组比较差异有统计学意义（χ^2=42.040,P〈0.01）;试验组患者的总体满意度为（8.64±2.18）分,对照组为（7.17±2.21）分,两组比较差异有统计学意义（t=8.738,P〈0.01）.结论 二次分诊模式降低了普通急诊患者候诊过程中的不良事件发生率,并且提升了患者的满意度.

Objective To explore the application effects of secondary triage mode based on process decentralized strategy in emergency waiting patients. Methods According to purposive sampling, emergency patients who visited hospital from April to May 2017 were selected into the control group （n=2 744）. Those who visited hospital from June to July 2017 after conducted secondary triage were collected into the intervention group （n=2 296）. The incidence of adverse events and patients＇ satisfaction were compared between two groups. Results The incidence of adverse events was significantly lower in the intervention group compared with the control group （0.58% vs. 1.93%; χ^2=42.040,P〈 0.01）. The intervention group had significantly higher patients＇ satisfaction level compared with the control group [（8.64±2.18） vs. （7.17±2.21）; t=8.738, P〈0.01]. Conclusions The secondary triage mode based on process decentralized strategy can effectively reduce the incidence of adverse events and improve patients＇ satisfaction in emergency waiting patients.