持续护理质量改进模式在门诊预检分诊中的应用效果

Application effect of continuous nursing quality improvement model in outpatient pre-examination and triage

目的探讨持续护理质量改进(CQI)模式在门诊预检分诊中的应用效果。方法选取本院门诊部2020年1月至2020年6月接诊的200例患者作为对照组,2020年7月至2020年12月接诊的200例患者作为观察组;每组各配置20名护理人员。对照组给予常规门诊预检分诊,观察组给予CQI模式门诊预检分诊。比较两组的干预效果。结果观察组的分诊评估时间、分诊挂号时间及危重患者等候时间均短于对照组,且分诊准确率高于对照组(P<0.05)。观察组护理人员对患者依从性、候诊有序性、分诊正确性、就诊优先性的满意度评分均高于对照组(P<0.05)。观察组患者对候诊环境、预检服务、等候时间、就诊次序、信息沟通的满意度评分均高于对照组(P<0.05)。结论 CQI模式应用于门诊预检分诊中,可有效缩短患者耗时,提高分诊准确率及护理满意度。

Objective To explore the application effect of continuous nursing quality improvement(CQI)model in outpatient pre-examination and triage.Methods A total of 200 patients received in the outpatient department of our hospital from January 2020 to June 2020 were selected as control group,and 200 patients from July 2020 to December 2020 were selected as observation group;each group disposed 20 nurses.The control group was given routine outpatient pre-examination and triage,and the observation group was given CQI model outpatient pre-examination and triage.The intervention effects of the two groups were compared.Results The triage evaluation time,triage registration time and waiting time of critical patients in the observation group were shorter than those in the control group,and the accuracy rate of triage was higher than that in the control group(P<0.05).The nurses'satisfaction scores for patients'compliance,waiting order,triage correctness and priority in the observation group were higher than those of the control group(P<0.05).The patients'satisfaction scores of waiting environment,pre-examination service,waiting time,treatment order and information communication in the observation group were higher than those in the control group(P<0.05).Conclusion CQI model applied in outpatient pre-examination and triage can effectively shorten the time consuming of patients,improve the accuracy rate of triage and nursing satisfaction.