新冠肺炎定点收治医院预检分诊流程再造效果分析

Analysis on the Reengineering Effect of Pre-Screening Triage in Designated Hospitals for COVID-19

目的:探讨新冠肺炎定点收治医院预检分诊流程再造的应用效果。方法:选择2020年2月4日至3月4日在深圳市第三人民医院综合门诊预检分诊患者469例,按就诊日期分为对照组和观察组,每组15 d。观察流程再造前后预检分诊总数与发热患者例数、单个患者分诊速度及患者对护理服务的评价。结果:流程再造前预检分诊总数188人,其中发热患者99人(占再造前总数的47.87%);再造后预检分诊总数281人,其中发热患者110人(占39.14%),再造前后两组患者预检分诊总数与发热患者比较,差异具有统计学意义(P<0.05);流程再造后单个患者分诊速度较再造前快,总用时减少,再造前后用时比较,差异具有统计学意义(P<0.05)。患者对护理服务评价,再造前总体评价满意率为76.59%,再造后为91.75%,差异具有统计学意义(P<0.05)结论:流程再造后能有效缩短患者在院内各环节时间,减少聚集,有利于提高护理服务质量和患者满意度。

Objective To investigate the application effect of pre-screening triage reengineering in designated hospitals for COVID-19.Methods 469 pre-triage patients were selected from the third people's hospital of shenzhen from February 4th,2020 to March 4th,2020.They were divided into control group and observation group according to the date of treatment,and each group lasted 15 days.The total number of preliminary triage and the number of patients with fever before and after reengineering,the rate of triage of a single patient,and the evaluation of nursing services were observed.Results 188 patients were pre-triage,99 of whom had fever(47.87%).The total number of pre-triage patients after reconstruction was 281,including 110 patients with fever(39.14%).There were statistically significant differences between the total number of preliminary triage and the ratio of patients with fever between the two groups before and after reconstruction(P<0.05).The triage rate of individual patients after reengineering was faster than that before reengineering,the total time was reduced,and the difference of time before and after reengineering was statistically significant(P<0.05).Patients'evaluation of nursing service showed that"satisfied"and"very satisfied"accounted for 76.59%before reconstruction and 91.75%after reconstruction,and the difference between the two groups was statistically significant(P<0.05).Conclusion The process reengineering can effectively shorten the time of patients in the hospital,reduce the aggregation,and improve the quality of nursing service and patient satisfaction.