CAJ | 학술논문

目的：构建门诊二级分诊护理管理模式，探索二级分诊管理模式在大型三级甲等医院门诊患者就诊管理中的适用性和可行性。方法：结合JCI门诊患者安全管理目标以及同质化服务要求，完善门诊护士岗位职责，建立并实施二级分诊工作模式，制定门诊患者安全管理制度，优化就诊环境，完善并应用门诊分诊管理软件支持二级分诊护理管理。结果：经过近三年实践，患者就诊等候时间从平均56.33min缩短至40.95min（P<0.001），门诊患者的总体满意度从91.38%提高到94.63%（P<0.001），门诊未发现因突发意外事件死亡，门诊一人一诊间执行率达到96.8%。结论：JCI标准下门诊二级分诊护理管理模式安全可行，提高了就诊效率和患者满意度，是提高门诊综合服务质量的重要手段。
목적：구건문진이급분진호리관리모식，탐색이급분진관리모식재대형삼급갑등의원문진환자취진관리중적괄용성화가행성。방법：결합JCI문진환자안전관리목표이급동질화복무요구，완선문진호사강위직책，건립병실시이급분진공작모식，제정문진환자안전관리제도，우화취진배경，완선병응용문진분진관리연건지지이급분진호리관리。결과：경과근삼년실천，환자취진등후시간종평균56.33min축단지40.95min（P<0.001），문진환자적총체만의도종91.38%제고도94.63%（P<0.001），문진미발현인돌발의외사건사망，문진일인일진간집행솔체도96.8%。결론：JCI표준하문진이급분진호리관리모식안전가행，제고료취진효솔화환자만의도，시제고문진종합복무질량적중요수단。
Objective: To explore the applicability and feasibility of two-level triage system in our tertiary hospital outpatient visit management. Methods: The authors established two-level triage system based on the JCI outpatient safety management goal and homogeneity service, they defined the job description of clinic nurses, established outpatient safety management system, improved clinic environment, using outpatient triage software to support the two-level triage management. Results: The average waiting time decreased from 56.33 min to 40.95 min (P<0.001), the overall satisfaction for outpatient increased from 91.38% to 94.63% (P<0.001) after three-year practice. No one suffered sudden accident death in clinic. The rate of one clinic for one patient was 96.8%. Conclusion: The two-level triage system under JCI standard was safe and efifcient for improving clinic service and outpatient satisfaction. It is an important means to increase outpatient service quality.