CAJ | 학술논문

目的为解决急诊科院内抢救护理接口关键环节存在"瓶颈"纠纷;医护或患者停留时间长;急救人员处理困惑;文件记录欠规范问题.方法采取急救护理传统模式与新模式对照实验,并改善服务态度,加强责任心,提高急救技术.观察护理差错及纠纷数、收住院停留时间、患者满意度、可追溯性记录.结果护理差错及纠纷减少46%,收住院停留时间平均缩短(7.2±0.2)min,患者满意度上升10.99%,留下可追溯性护理记录1673份.结论新的急诊科护理接口管理流程模式的实施,解决了关键环节接口处"瓶颈"纠纷问题,使急诊患者绿色通道更便捷,有利于护理安全,降低死亡率,提高工作效率,可供同道参考.
목적 위해결급진과원내창구호리접구관건배절존재"병경"규분;의호혹환자정류시간장;급구인원처리곤혹;문건기록흠규범문제.방법 채취급구호리전통모식여신모식대조실험,병개선복무태도,가강책임심,제고급구기술.관찰호리차착급규분수、수주원정류시간、환자만의도、가추소성기록.결과 호리차착급규분감소46%,수주원정류시간평균축단(7.2±0.2)min,환자만의도상승10.99%,류하가추소성호리기록1673빈.결론 신적급진과호리접구관리류정모식적실시,해결료관건배절접구처"병경"규분문제,사급진환자록색통도경편첩,유리우호리안전,강저사망솔,제고공작효솔,가공동도삼고.
Objective To settle the "bottleneck" disputes existed in the key aspect of emergency treatment care of emergency department, long delayed time of medical workers or patients, perplexity of first-aid personnel, less standard in medical records. Methods Comparison experiment was carried out with the traditional model of emergency care in contrast with the new model, besides the service attitude was improved,the awareness of responsibility was strengthened and the first-aid technique was increased. Number of nursing errors and disputes, hospitalization time, satisfaction degree of patients and record trace-ability were observed. Results The nursing errors and disputes reduced by 46%, hospitalization time re-duced by an average of (7.2±0.2) minutes, satisfaction degree of patients increased by 10.99%, leaving 1673 record traceability of care. Conclusions The application of new management processes of nursing interface in emergency department can settle the "bottleneck" disputes of key interface, make the green passage of emergency patients more convenient and is conducive to safe care, less mortality, high work effi-ciency, which proves to be a reference for fellows.