中国基层医药
中國基層醫藥
중국기층의약
Chinese Journal of Primary Medicine and Pharmacy
2015年
22期
3445-3447
,共3页
张燕君%吴小将%赵彩花%楼晓赟%王玲玲
張燕君%吳小將%趙綵花%樓曉赟%王玲玲
장연군%오소장%조채화%루효빈%왕령령
改良早期预警评分%基层医院%急诊院内转运
改良早期預警評分%基層醫院%急診院內轉運
개량조기예경평분%기층의원%급진원내전운
Modified early warning scores%Primary hospital%Nosocomial emergency transshipment
目的:探讨改良早期预警评分在基层医院急诊院内转运中的应用效果。方法选取2013年7月1日至2014年2月28日符合条件的患者192例作为对照组,以2014年3月1日至2014年10月31日符合条件的患者192例作为观察组,对照组按经验性的病情评估方法进行评估和转运,观察组采用改良早期预警评分进行病情评估,有针对性地实施救治,比较实施前后两组患者转运不安全事件发生率、转运交接项目准确率、患者亲属及相关科室满意度的差异。结果实施改良早期预警评分后,急诊患者转运过程中不安全事件发生率由对照组的13.0%降低至观察组的5.2%(χ2=5.121,P <0.05);转运交接项目准确率由对照组的85.4%提高至观察组的94.3%(χ2=8.248),患者亲属满意度和相关科室满意度由实施前的89.1%、87.5%分别提高至97.4%、96.4%(χ2=15.561,χ2=10.141,均 P <0.05),各项目差异均有统计学意义。结论改良早期预警评分能对急诊患者转运过程中的安全性进行客观、有效的评估和分类,可以有效降低急诊患者院内转运过程中的不安全事件发生率,提高转运交接项目准确性,改善了患者亲属满意度和相关科室满意度。
目的:探討改良早期預警評分在基層醫院急診院內轉運中的應用效果。方法選取2013年7月1日至2014年2月28日符閤條件的患者192例作為對照組,以2014年3月1日至2014年10月31日符閤條件的患者192例作為觀察組,對照組按經驗性的病情評估方法進行評估和轉運,觀察組採用改良早期預警評分進行病情評估,有針對性地實施救治,比較實施前後兩組患者轉運不安全事件髮生率、轉運交接項目準確率、患者親屬及相關科室滿意度的差異。結果實施改良早期預警評分後,急診患者轉運過程中不安全事件髮生率由對照組的13.0%降低至觀察組的5.2%(χ2=5.121,P <0.05);轉運交接項目準確率由對照組的85.4%提高至觀察組的94.3%(χ2=8.248),患者親屬滿意度和相關科室滿意度由實施前的89.1%、87.5%分彆提高至97.4%、96.4%(χ2=15.561,χ2=10.141,均 P <0.05),各項目差異均有統計學意義。結論改良早期預警評分能對急診患者轉運過程中的安全性進行客觀、有效的評估和分類,可以有效降低急診患者院內轉運過程中的不安全事件髮生率,提高轉運交接項目準確性,改善瞭患者親屬滿意度和相關科室滿意度。
목적:탐토개량조기예경평분재기층의원급진원내전운중적응용효과。방법선취2013년7월1일지2014년2월28일부합조건적환자192례작위대조조,이2014년3월1일지2014년10월31일부합조건적환자192례작위관찰조,대조조안경험성적병정평고방법진행평고화전운,관찰조채용개량조기예경평분진행병정평고,유침대성지실시구치,비교실시전후량조환자전운불안전사건발생솔、전운교접항목준학솔、환자친속급상관과실만의도적차이。결과실시개량조기예경평분후,급진환자전운과정중불안전사건발생솔유대조조적13.0%강저지관찰조적5.2%(χ2=5.121,P <0.05);전운교접항목준학솔유대조조적85.4%제고지관찰조적94.3%(χ2=8.248),환자친속만의도화상관과실만의도유실시전적89.1%、87.5%분별제고지97.4%、96.4%(χ2=15.561,χ2=10.141,균 P <0.05),각항목차이균유통계학의의。결론개량조기예경평분능대급진환자전운과정중적안전성진행객관、유효적평고화분류,가이유효강저급진환자원내전운과정중적불안전사건발생솔,제고전운교접항목준학성,개선료환자친속만의도화상관과실만의도。
Objective To investigate the effect of modified early warning scores (MEWS)on nosocomial emergency transshipment in primary hospital.Methods From July 2013 to February 2014,192 patients were selected as control group,and from March 2014 to October 2014,192 patients were selected as observation group.The control group conducted assessment and transshipment by experience.The observation group adopted MEWS to evaluate dis-ease and applied targeted treatment.Then,we compared the incidence of unsafe events,accuracy of handover,family member and the related departments 'satisfaction.Results After the implementation of MEWS,the incidence of unsafe events was decreased from 13.0% to 5.2%(χ2 =5.121 ).The accuracy of handover was increased from 85.4% to 94.3% (χ2 =8.248).The family member and related departments 'satisfaction were improved from 89.1%,87.5% to 97.4% and 96.4%,respectively (χ2 =15.561,χ2 =10.141).The differences were statistically significant (P <0.05).Conclusion MEWS can evaluate and classify the safety of patients objectively and effective-ly during nosocomial emergency transshipment.MWES can effectively reduce the incidence of unsafe events,increase the accuracy of handover,improve family member and related departments'satisfaction.