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区块化管理模式在急诊危重患者救治中的应用效果分析

Analysis of the application effect of block management mode in the treatment of critically ill patients in emergency medicine
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摘要 目的:分析区块化管理模式在急诊抢救患者中的应用价值。方法:回顾性分析2022年6月—2023年7月上海交通大学医学院附属仁济医院急诊救治的1000例患者的临床资料,将2022年6—12月救治的500例患者纳入对照组,将2023年1—7月救治的500例患者纳入观察组。对照组实施常规急诊病区管理,观察组在对照组常规急诊病区管理基础上进行区块化管理。比较两种不同管理模式下的抢救时效性指标、质量评分情况。结果:观察组患者就诊至处置时间、辅助检查耗时和急诊滞留时间短于对照组,差异有统计学意义(P<0.05);观察组患者满意度、就诊秩序、转运交接和用药指导评分高于对照组,差异有统计学意义(P<0.05)。观察组患者救治成功率高于对照组,差异有统计学意义(P<0.05)。结论:区块化管理模式能够有效提高急救时效性和急诊管理质量,同时提高救治效果,值得应用。 Objective To analyze the application value of block management mode in emergency rescue patients.Methods A retrospective analysis of 1000 patients with emergency treatment in Renji Hospital,Shanghai Jiaotong University School of Medicine from June 2022 to July 2023 was conducted.500 patients treated from June to December 2022 were included in the control group,and 500 patients treated from January to July 2023 were included in the observation group.Routine emergency ward management was implemented in the control group,and block management was performed on the basis of routine emergency ward management of the control group in the observation group.The rescue timeliness indexes and quality scores under two different management modes were compared.Results The treatment time,auxiliary examination time and emergency retention time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The scores of patient satisfaction,order of treatment,transfer and handover,and medication guidance in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The success rate of treatment in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions The block management mode can effectively improve the timeliness of first aid and the quality of emergency management,and improve the treatment effect,which has high application value.
作者 承晓燕 王琦 CHENG Xiaoyan;WANG Qi(Department of Nursing,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200125,China)
出处 《医药前沿》 2024年第36期47-49,53,共4页 Journal of Frontiers of Medicine
关键词 区块化管理模式 急诊 危重患者 病区管理 Block management mode Emergency Critically ill patients Ward management
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  • 1FitzGerald G, Jelinek GA, Scott D, et al. Emergency department triage revisited [J]. Emerg Med J, 2010, 27 (2) : 86-92. DOI: 10. l136/emj. 2009. 077081.
  • 2Farrohknia N, Castren M, Ehrenberg A, et al. Emergency department triage scales and their components: a systematic review of the scientific evidence [ J ]. Scand J Trauma Resus Emerg Med, 2011, 19 (42): 1-13. DOI: 10. 1186/1757-7241-19-42.
  • 3Christ M, Grossmann F, Winter D, et al. Modem triage in the emergency department [J]. Dtsch Arztebl Int, 2010, 107 (50) : 892-U820. DOI: 10. 3238/arztebl. 2010. 0892.
  • 4Australasian College for Emergency Medicine. Guidelines on the implementation of the Australasian Triage Scale in emergency departments [ EB/OL ]. ( 2013-12-18 ) [ 2014-01-01 ]. https: //www. acem. org. au/getattachment/'dl9d5ad3-elf4- 4e4f-bf83-7eO9cae27d76/G24-Implementation-of-the-Australasian- Triage-Scal. aspx.
  • 5Bullard MJ, Unger B, Spence J, et al. Revisions to the Canadian Emergency Department Triage and Acuity Scale (CTAS) adult guidelines [J]. Can J Emerg Med, 2008, 10 (2) : 136-151.
  • 6Manchester Triage Group. Mackway-Jones. Emergency TriageThird [ M]. Oxford: John Wiley&Sons, Ltd, 2014.
  • 7Gilboy N, Tanabe P, Travers D, et al. Emergencyseverity index (ESI) : a triage tool for emergency department care, Version 4. Implementation Handbook 2012 Edition [ M]. Rockville: Agency for Healthcare Research and Quality, 2011.
  • 8中华人民共和国国家卫生和计划生育委员会.医院急诊科规范化流程[EB/OL].(2012-09-14)[2014-01-01].http://www.moh.gov.cn/zwgkzt/s9494/201209/8t98dd251290499980lcde5ecdc64438.shtml.
  • 9Peng L, HammadK. Current status of emergency department triage in China's Mainland: A narrative review of the literature [ J ]. Nuts Health Sci, 2015, 17 (2): 148-158. DOI: 10. llll/nhs. 12159.
  • 10Subbe CP, Kruger M, Rutherford P, et al. Validation of a modified Early Warning Score in medical admissions [ J ]. QJM, 2001, 94 (10): 521-526.

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