急诊创伤患者信息预警表在院前—院内交接中的应用研究

Application of prehospital-inhospitalinformation alert form for traumapatientsin emergency handoffs

目的 探讨“年龄、受伤时间、致伤机制、受伤部位、症状体征、院前处理”(age,time,mechanism of injury,injuries,signs,treatment,ATMIST)信息预警表在急诊创伤患者院前-院内交接中的应用。方法 便利选取浙江省某三级乙等医院急诊科就诊的创伤患者,将2022年8月-9月收治的93例创伤患者纳入试验组,使用ATMIST信息预警表进行院前-院内交接,2022年6月-7月收治的108例创伤患者纳入对照组,接受传统院前-院内交接。比较两组二次交接时间、启动创伤团队时间以及医护人员满意度。结果 试验组二次交接时间3(2,5) min显著低于对照组5(3,6) min(Z=-2.147,P=0.030),试验组启动创伤团队时间0(-1,0) min早于对照组0(0,0) min(Z=-2.161,P=0.031)。93.33%的医护人员认为有必要采用标准化信息预警表,96.67%的医护人员对ATMIST信息预警表的应用表示满意。结论 ATMIST信息预警表应用于急诊创伤患者院前-院内交接,可显著缩短创伤患者二次交接时间,并提前启动创伤团队,且医护人员认同感和满意度较高。

Objective To explore the application of the“age,time,mechanism of injury,injuries,signs,treatment”(ATMIST)information alert form in prehospital-hospital handover of trauma patient.Methods We conveniently se-lected trauma patients from emergency department in a tertiary class B hospital in Zhejiang Province,108 trauma patients who received the traditional prehospital-hospital handover(June to July 2022)were included in the control group,and 93 trauma patients who received the ATMIST information alert form handover(August to September 2022)were included in the experimental group.The time of second handover,time to early trauma team activation,and healtheare provider satisfaction were compared between the two groups.Results The secondary handover time in the experimental group was 3(2,5)min,which was significantly lower than that in the control group 5(3,6)rmin(Z=-2.147,P=0.030).The initiation of trauma care time in the experimental group was 0(-1,0)min,which was significantly earlier than that in the control group 0(0,0)min(=-2.161,P=0.031).93.33%of the healthcare workers considered it necessary to adopt the standardized information alert form,and 96.67%of the healthcare workers were satisfied with the ATMIST information alert form.Conclusion ATMIST information alert form was ap-plied to prehospital-hospital early warning of trauma patients,which can significantly shorten the time of in-hospital secondary handover of trauma patients and activate the trauma treatment team earlier,and improve the recognition and satisfaction of health care personnel are higher.