急诊"预检-挂号"一体化信息系统的研发与应用

Development and application of emergency triage-registration information system

目的探讨信息化急诊"预检-挂号"一体化就诊流程在急诊患者中的应用效果。方法选取复旦大学附属中山医院2016年12月1-31日的急诊非危急患者18964例为对照组,2017年3月1-31日的急诊非危急患者18798例作为试验组,对照组按照传统的预检、挂号分开的就诊模式,试验组患者使用"预检-挂号"一体化的新就诊模式,比较"预检-挂号"一体化的就诊模式前后,2组患者的急诊候诊时间、患者满意度、医务人员满意度。结果干预组候诊时间中位数(P25,P75)为11(6,28)min,显著短于对照组的10(4,27)min,2组比较差异有统计学意义(Z=-14.5433,P=0.000);患者满意度总分为(2.97±0.16)分,优于对照组的(2.80±0.45)分,2组比较差异有统计学意义(Z=-10.317,P<0.01);医务人员接受度总分为(2.90±0.35)分,优于对照组的(2.97±0.16)分,2组比较差异有统计学意义(Z=-5.527,P<0.05)。结论"预检-挂号"一体化信息系统的研发与应用,有效地缩短了患者的候诊时间,改善了急诊患者的就诊体验,提高了医务人员的满意度,实现了就医流程的优化。

Objective To explore the application effect of triage-registration information systems in emergency patients.Methods A total of 18 964 emergency patients from 1 December 2016 to 31 December 2016 in Zhongshan Hospital of Fudan University Emergency Department were selected as control group and 18798 emergency patients as experimental group from March 1,2017 to March 31,2017.In the control group,the patients were used traditional mode of triage-registration and registration office respectively line.In the experimental group,the patients were used triage-registration information systems in line once.The emergency waiting time,patient satisfaction and medical staff satisfaction were compared between the two groups before and after the application of triage-registration information systems.Results The waiting time in the experimental group was significantly shorter than that in the control group,median(P25,P75):11(6-28)min vs.10(4,27)min,The difference between both groups was statistically significant(Z=-14.5433,P=0.000).The patient satisfaction in the experimental group were better than those in the control group,(2.89±0.41 vs.2.98±0.13),and with statistical difference(Z=-10.317,P<0.05).And the acceptance of the medical staff in the experimental group were better than those in the control group,(2.90±0.35 VS 2.97±0.16),and with statistical difference(Z=-5.527,P<0.05).Conclusions The development and application of the triage-registration information system can effectively shorten the waiting time of patients,improve the experience of emergency patients,improve the satisfaction of medical staff,and realize the optimization of the process of seeking medical treatment.