摘要
目的探讨基于关键指标监测的急诊预检分诊双闭环管理的效果。方法2019年1~6月对急诊患者实施常规预检分诊管理;2019年7~12月实施急诊预检分诊活动与监管双闭环管理,包括动态评估、规范处理、实时监控、持续改进,并利用信息化平台实现关键指标监测。结果2个时间段分别收集4550例、4670例患者资料。实施双闭环管理后,初次分诊准确率、目标响应时间达标率及急诊分诊满意度显著高于常规管理,候诊不良事件发生率显著低于常规管理(P<0.05,P<0.01);双闭环管理后分诊信息采集完整、二次分诊落实、二次分诊准确度3项关键指标落实率逐步提升。结论双闭环管理联合关键指标监测,可有效提高急诊预检分诊质量与效率,提升患者满意度,保障急诊患者安全。
Objective To explore the effect of double closed-loop management and monitoring of key performance indicators in emergency triage.Methods We performed conventional triage in emergency department from January to June 2019,and conducted double closed-loop management of triage activities and supervision from July to December 2019,including dynamic evaluation,standardized processing,real-time monitoring,continuous improvement and monitoring of key performance indicators.Results Data were collected from 4550 patients receiving conventional triage and 4670 receiving double closed-loop management.The accuracy rate of primary triage,the standard-reaching rate of response and the rate of patient satisfaction with triage were significantly enhanced after implementation of the double closed-loop management,whereas the rate of adverse events during waiting time was significantly reduced(P<0.05,P<0.01).The rates of complete triage information collection and secondary triage completion,as well as accuracy rate of secondary triage were gradually increased.Conclusion Double closed-loop management combining monitoring of key performance indicators effectively improve the quality and efficiency of emergency triage,enhance patient satisfaction and guarantee patient safety.
作者
郑若菲
陈晓欢
简钢仁
林羽
王圣芳
叶诚栋
徐雯
Zheng Ruofei;Chen Xiaohuan;Jian Gangren;Lin Yu;Wang Shengfang;Ye Chengdong;Xu Wen(Emergency Department,Fujian Provincial Hospital,Fuzhou 350001,China)
出处
《护理学杂志》
CSCD
北大核心
2021年第10期53-56,共4页
Journal of Nursing Science
基金
福建省医疗“创双高”建设项目(闽政办[2017]4号)。
关键词
急诊预检分诊
初次分诊
二次分诊
关键指标
闭环管理
emergency triage
primary triage
secondary triage
key indicator
closed-loop management
