基于视频的个案追踪法在急性冠状动脉综合征救治流程质控的应用

Application of video-based case tracking method in quality control of the treatment process for acute coronary syndrome

目的探讨基于视频的个案追踪法在急性冠状动脉综合征(ACS)救治流程质控中的应用效果。方法按照入院时间将234例ACS患者分为对照组106例和观察组128例。对照组采用常规的质控方法,观察组采取基于视频的个案追踪法的质控方式,即定期回顾、现场核查、定期考核医护人员、访谈患者及家属。结果观察组分诊时间、院内首份心电图时间、肌钙蛋白获取时间、双抗药物使用时间、导管室激活时间、门球时间及ACS患者初步处理时间显著短于对照组,患者流程护理评分显著高于对照组(均P<0.01)。结论运用基于视频的个案追踪法可有效提高ACS患者救治的时效性,对胸痛中心流程规范化管理有积极意义。

Objective To explore the application effect of video-based case tracking method in the quality control of treatment process for Acute Coronary Syndrome(ACS).Methods Totally 234 patients with ACS were divided into a control group(n=106)and anintervention group(n=128)chronologically.Conventional quality control method was used for the control group,while video-based case tracking method was utilized in the quality control of the intervention group,including regular case review,on-site inspection,regular assessment of medical staff and interview of clients and their family members.Results Time elapse of triage,first electrocardiogram,troponin acquisition,dual antagonists use,activation of conduit room,the door to balloon and the initial treatment of ACS patients in the intervention group were significantly shorter than those in the control group,while patients′score toward process nursing was significantly higher than that of the control group(P<0.01 for all).Conclusion Application of video-based case tracking method in quality control of the treatment process can effectively improve the timeliness of treatment for patients with ACS,and it is significant to standardize the process management of chest pain center.