CAJ | 학술논문

目的：：探讨5级国际预检系统(5L NTS)在三级甲等医院急诊内科中实际应用效果。方法：采用随机抽样,观察组依据5L NTS标准进行分诊,对照组采用传统标准分诊,分别观察并比较2组间患者分诊失误率、候诊等候时间及就诊满意度。结果：观察组患者分诊失误率为1.0%,对照组为9.2%,2组患者分诊失误率差异有统计学意义(P<0.05)；观察组平均每例患者的候诊时间为(7.44±7.00)min,对照组为(10.12±9.44)min,2组差异有统计学意义(P<0.05)；观察组对候诊等候时间满意度、医院整体医疗服务满意度和医生诊疗服务满意度均高于对照组(P<0.05~P<0.01)。结论：5L NTS能有效降低预检护士分诊失误率,降低不良事件的发生,缩短患者候诊时间,提高了就诊满意度。
목적：：탐토5급국제예검계통(5L NTS)재삼급갑등의원급진내과중실제응용효과。방법：채용수궤추양,관찰조의거5L NTS표준진행분진,대조조채용전통표준분진,분별관찰병비교2조간환자분진실오솔、후진등후시간급취진만의도。결과：관찰조환자분진실오솔위1.0%,대조조위9.2%,2조환자분진실오솔차이유통계학의의(P<0.05)；관찰조평균매례환자적후진시간위(7.44±7.00)min,대조조위(10.12±9.44)min,2조차이유통계학의의(P<0.05)；관찰조대후진등후시간만의도、의원정체의료복무만의도화의생진료복무만의도균고우대조조(P<0.05~P<0.01)。결론：5L NTS능유효강저예검호사분진실오솔,강저불량사건적발생,축단환자후진시간,제고료취진만의도。
Objective:To explore the application effects of 5 level national triage system(5L NTS) in emergency internal medicine in a First-class hospital at Grade 3. Methods:The patients were randomly divided into the experimental group and control group,which were classified using 5 level national triage system and traditional standard triage,respectively. The triage failure rate,waiting time and satisfaction of patient in two groups were observed. Results:The triage failure rates of the experimental group and control group were 1.0% and 9. 2%,respectively,the difference of which was statistically significant(P <0. 05). The average waiting time of the experimental group and control group were(7. 44 ±7. 00) min and(10. 12 ±9. 44) min,respectively,the difference of which was statistically significant(P<0. 05). The satisfaction during waiting,overall hospital medical service satisfaction and physician service satisfaction in experimental group were significantly higher than those in control group(P<0. 05 to P<0. 01). Conclusions:Five level national triage system can effectively reduce the nurse triage failure rate and incidence of adverse event, shorten the waiting time of patient,and improve the patients’satisfaction.