分级分区管理在急诊患者中的应用
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摘要
目的探讨对急诊患者进行分级分区管理的应用效果。方法按照原卫生部发布的《急诊病人病情分级试点指导原则》,将急诊科从空间上分为"红黄绿"三区,将急诊就诊患者按病情轻重分为"四级",进行区别救治。结果该院自2012年开始对急诊科患者实施分级分区管理后,改善了以前急诊科普通患者和危重患者混为一体的情况,使危重患者得到更及时的救治,危重患者的抢救成功率从实施分级分区管理前的97.7%提升到98.4%,实施5年来,无纠纷投诉事件发生。结论在急诊抢救室实施就诊患者分级分区管理的应用效果显著,能合理分流危重患者,提高了危重患者的抢救成功率。
Objective To investigate the application effect of hierarchical management on emergency patients. Methods According to the "Guidelines for the Pilot Program of Emergency Patient Classification" issued by the former Ministry of Health, the emergency department was divided into three areas of "red, yellow and green" in space. The patients in the emergency department were divided into "four levels" according to the severity of the disease. Results Since the implementation of the grading and district management of emergency department patients in 2012, our hospital has improved the situation of the former emergency department and the critically ill patients, so that critical patients can receive more timely treatment success rate of critical patients implemented 97.7% before the classification and division management was upgraded to 98.4%. After five years of implementation, no disputes occurred. Conclusion The application of hierarchical zoning management in the emergency room is significant, which can reasonably divert critically ill patients and improve the success rate of critically ill patients.
Objective To investigate the application effect of hierarchical management on emergency patients. Methods According to the "Guidelines for the Pilot Program of Emergency Patient Classification" issued by the former Ministry of Health, the emergency department was divided into three areas of "red, yellow and green" in space. The patients in the emergency department were divided into "four levels" according to the severity of the disease. Results Since the implementation of the grading and district management of emergency department patients in 2012, our hospital has improved the situation of the former emergency department and the critically ill patients, so that critical patients can receive more timely treatment success rate of critical patients implemented 97.7% before the classification and division management was upgraded to 98.4%. After five years of implementation, no disputes occurred. Conclusion The application of hierarchical zoning management in the emergency room is significant, which can reasonably divert critically ill patients and improve the success rate of critically ill patients.
引文
[1]张洪君,杨美玲,苏春燕,等.对“优质护理服务示范工程”实施意义与落实方案的思考[J].中国护理管理,2010,10(4):22-23.
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[10]蒋红丽.急诊科分区分级管理模式的临床实践探讨[J].医学信息,2014,27(12):397.
[11]谯进,王励敏,余正慧,等.分级分区管理模式在急诊患者群体中的临床应用价值[J].西部医学,2015,27(12):1883-1885.
[2]卫生部.急诊病人病情分级指导原则(征求意见稿)[J].中华危重症医学杂志:电子版,2011,4(4):241-243.
[3]林桂珍,陈蕾,李梅,等.分级分区诊疗在口腔专科医院急诊科的应用[J].口腔疾病防治,2018,26(8):541-544.
[4]吴惠静,陈岚,黄陈.急诊分级分区管理模式应用进展分析[J].中国卫生质量管理,2018,25(5):7-9.
[5]谢滔,封雪,董连.病情分级及分区处置在烧伤急诊科的应用效果[J].护理学杂志,2017,32(24):22-25.
[6]潘艳玲,黄永义,黄丽军.4级分级标准在急诊分诊工作中的应用研究[J].中国临床护理,2018,10(5):382-385.
[7]陈绮坚,麦明霞,季艳.急诊分级分区模式在基层医院的应用效果分析[J].河南医学研究,2016,25(6):1057-1058.
[8]林转结,孟宇.分级分区分诊在急诊科的应用及效果评价[J].岭南急诊医学杂志,2015,20(2):159-160.
[9]高美洁,覃小慧,邹爱玲,等.急诊患者分级分区管理在提高急诊预检分诊质量中的作用[J].齐齐哈尔医学院学报,2016,37(3):341-342.
[10]蒋红丽.急诊科分区分级管理模式的临床实践探讨[J].医学信息,2014,27(12):397.
[11]谯进,王励敏,余正慧,等.分级分区管理模式在急诊患者群体中的临床应用价值[J].西部医学,2015,27(12):1883-1885.