急诊预检分诊错误原因分析及整改探讨

Analysis and Rectification of the Cause of Emergency Precheck

目的探讨急诊预检分诊错误原因及整改措施。方法回顾并分析我院急诊科2016年3—12月预检分诊情况。分诊的错误病例为1 591人次,对其进行分类及分析,提出解决的对策。结果总分诊例数为12 873人次,实施整改措施后错误例数1 591人次,错误率为12.36%,实施整改前错误例数为2 682人次,错误率为20.83%,差异具有统计学意义(P<0.05)。结论致使预检分诊产生错误的重要问题是缺少规范性与有效性的量化预检系统相关分诊标准,以及护士缺少专业素养以及缺少充足的业务能力,需要制定整改措施,提高分诊正确率。

Objective To explore the cause and corrective measures of emergency precheck.Methods The pre-inspection of the emergency department of our hospital from March to December2016was reviewed and analyzed.The number of Misdiagnosed cases was1591,which was classified and analyzed,and the countermeasures were put forward.Results The total number was12873cases,1591errors occuring after the implementation of corrective actions,the error rate of12.36%.Before the implementation of the rectification,the number of error cases was2682,and the error rate was20.83%,the difference was statistically significant(P<0.05).Conclusion The important problem of preview triage errors is the lack of normative and effective quantitative preview triage system standard,and a lack of professional nurses and the lack of adequate business ability,need to develop corrective measures to improve the triage accuracy.