分级分区管理在医院急诊危重病人救治中的应用与效果分析

Effect Analysis of Graded Partition Management in Treatment of Critical Patients in Emergency Department

目的 探讨分级分区管理在三级公立医院急诊危重病人救治过程中的应用效果。方法 医院急诊科214例病人分为对照组(106例,常规方案管理)、观察组(108例,分级分区管理)。比较两组各项急救指标、急诊管理质量评分、不良医疗事件等。结果 观察组就诊至处置时间、辅助检查耗时、急救总时间较对照组明显缩短,急诊滞留发生率较对照组低(p<0.05),就诊秩序评分、转运交接评分、用药指导评分较对照组提高(p<0.05),病情恶化事件总发生率较对照组降低,医疗费用较对照组明显降低,不良医疗事件总发生率低于对照组(p<0.05)。结论 分级分区管理可明显缩短病人救治时间,提高急诊救治效率,降低急诊滞留率和不良医疗事件发生率。

Objective To explore the effect of hierarchical divisional management in critical patients in emergency department of a tertiary public hospital.Methods A total of 214 patients admitted to emergency department of the hospital were divided into control group(n=106,conventional management) and observation group(n=108,hierarchical divisional management).The first-aid indicators,emergency management quality score,and medical adverse events were compared between the two groups.Results The time from consultation to treatment,auxiliary examination time,and first-aid duration in observation group were significantly shorter than those in control group,and the incidence of emergency retention was significantly lower than that in control group(P<0.05).The scores of visit order,transfer and handover,and medication guidance of observation group were higher than those of control group(P<0.05).The total incidence of deterioration,medical expenses and the total incidence of adverse events in observation group were lower than those in control group(P<0.05).Conclusion Hierarchical divisional management can significantly shorten the treatment time,improve treatment efficiency,and reduce the incidence of emergency retention and medical adverse events.