急诊危重患者“互联网+”入院流程的设计及应用

Design and application of"Internet Plus"based admission process in emergency and critical patients

目的设计并应用基于“互联网+”的急诊危重患者入院流程。方法通过文献检索、小组讨论优化急诊危重患者入院流程,并依托手机及微信公众号实现患者家属线上入院手续办理与缴费,制订“互联网+”入院流程。以2021年1月-3月入院的124例急诊危重患者为试验组,采用“互联网+”入院流程收治入院;以2020年10月-12月入院的94例急诊危重患者为对照组,采用传统入院流程。比较两组办理入院手续时间和患者满意度,并通过半结构式访谈了解医护人员对“互联网+”入院流程的看法。结果试验组办理入院手续完成时间较对照组缩短20.84min(P<0.05);试验组护理满意度为96.8%,对照组为25.5%,差异具有统计学意义(P<0.05);10名受访医护人员对“互联网+”入院流程的效果,表示肯定,并提出了优化建议。结论优化后的“互联网+”入院流程可缩短急诊危重患者的入院等待时间,提高患者满意度。

Objective To design and apply the admission process based on "Internet Plus" in emergency and critical patients. Methods The hospital admission process of emergency critically ill patients was optimized through literature review and group discussion methods,and patients’ family members paid online by mobile application and Wechat public account,nurses in emergency department handled admission procedures online,and the "Internet Plus" hospital admission process was developed. 124 critically ill patients who were admitted to the emergency department and hospitalized from January 2021 to March 2021 were selected as the experimental group. The experimental group used the “Internet Plus” hospital admission process. A total of 94 critically ill emergency patients who were admitted and hospitalized from October 2020 to December 2020 were selected as the control group and used the traditional admission procedures. The completion time and satisfaction of admission procedures between the two groups were compared. Semi-structured interviews were conducted to understand the medical staff’s opinions on the “Internet Plus” admission process. Results The completion time of admission procedures in experimental group was 20.84 min shorter than that in control group(P<0.05). Nursing satisfaction of experimental group was 96.8%,and that of control group was 25.5%,and the difference between the two groups was statistically significant(P<0.05). Ten interviewed medical staff recognized the effects of the“Internet Plus” admission process and put forward effective suggestions. Conclusion The “Internet plus”emergency hospital admission process for emergency and critically ill patients can shorten hospital waiting time and improve patient satisfaction.