基于改良早期预警评分的管理模式在急诊留观患者中的应用

Application of management mode based on modified early warning score in patients observed in emergency department

目的探讨基于改良早期预警评分的管理模式在急诊留观患者风险管理中的应用价值。方法选取2018年7—12月急诊留观且行MEWS急诊留观管理的45例患者作为研究组,选取2018年1—6月急诊留观且行常规留观流程管理患者45例作为对照组,记录两组患者留观期间意外事件发生情况,统计两组急诊留观患者分流去向,比较不同分流去向患者MEWS评分差异。结果相比行常规急诊留观流程管理患者,行MEWS急诊留观管理患者急诊留观期间意外事件发生情况显著降低(8.89%比28.89%),差异有统计学意义(P<0.05)。研究组转入专科病房或抢救室患者MEWS评分均比留观区患者更高,而转入抢救室患者MEWS评分又显著高于转入专科病房患者(均P<0.05)。结论对急诊留观患者应用基于MEWS模式进行管理,可客观、科学评估患者病情,避免留观意外事件发生,为急诊留观患者分流提供依据。

Objective To explore the application value of management mode based on modified early warning score(MEWS)in risk management of patients observed in emergency department.Methods Fortyfive patients who received MEWS observed management in emergency department in our hospital from July to December 2018 were selected as the study group,and 45 patients who received routine observed management in emergency department from January to June 2018 were selected as the control group.The incidence of accidents during the observation period in emergency department in the two groups were recorded,the diversions of patients of the two groups were counted.The MEWS scores of patients with different diversions were compared.Results The incidence of accidents during the observation period in emergency department in the patients who received MEWS observed management in emergency department was lower than that in the patients who received routine observed management in emergency department(8.89%vs.28.89%),with statistically significant difference(P<0.05).The MEWS scores of patients transferred to the specialist ward or rescue room were higher than that of patients still observed in emergency department,and the MEWS score of patients transferred to the rescue room was higher than that of patients transferred to the specialist ward(all P<0.05).Conclusion The application of MEWS mode for patients observed in emergency department can be used to objectively and scientifically assess the patients'condition,avoid the occurrence of accidents,and provide a basis for the diversion of patients observed in emergency department.