改良早期预警评分在基层医院急诊危重患者院内转运中的应用

发布时间：2018-12-27 19:06

【摘要】：目的探讨改良早期预警评分在基层医院急诊危重患者院内转运中的应用效果。方法选取2015年2月1日~4月30日经抢救后需转运的81例患者为对照组,2015年5月1日~7月31日经抢救后需转运的103例患者作为观察组,对照组采用传统经验方法进行评估病情,并转运。观察组转运前在常规评估基础上增加改良早期预警评分进行病情评估,采取针对性的处理措施。比较实施前后两组患者院内转运不安全事件发生率,患者家属及接受科室满意度的差异。结果实施改良早期预警评分后,急诊危重患者院内转运中不安全事件发生率由实施前的8.64%降低到实施后的0.97%(P=0.030);患者家属满意度由实施前的85.19%提高到实施后的94.17%(P=0.042),接受科室满意度由实施前的80.25%提高到实施后的93.20%(P=0.008)。结论改良早期预警评分能客观、准确评估急诊危重患者院内转运中的病情,有效降低急诊危重患者院内转运中不安全事件发生率,提高患者家属满意度以及科室间合作的满意度。
[Abstract]:Objective to explore the application effect of improved early warning score in hospital transportation of emergency critical patients in primary hospitals. Methods Eighty-one patients were selected as the control group and 103 patients as the observation group. The patients in the control group were evaluated by the traditional experience method, and the patients in the control group were selected as the control group, and 103 patients who needed to be transported after the rescue from May 1 to July 31, 2015 were selected as the observation group. And transshipment. In the observation group, the modified early warning score was added on the basis of routine assessment before transshipment, and targeted treatment measures were taken. The incidence of unsafe transportation in hospital, the satisfaction of patients' families and departments were compared between the two groups before and after the implementation. Results after the implementation of the improved early warning score, the incidence of unsafe incidents in hospital transportation of emergency critical patients decreased from 8.64% before implementation to 0.97% (P0.030) after implementation. The satisfaction degree of family members increased from 85.19% before implementation to 94.17% (P0. 042) after implementation, and the satisfaction degree of receiving department increased from 80.25% before implementation to 93.20% (P0. 008) after implementation. Conclusion the improved early warning score can objectively evaluate the condition of hospital transportation in emergency critical patients and effectively reduce the incidence of unsafe events in hospital transportation in emergency critical patients. To improve the satisfaction of patients' families and the cooperation between departments and departments.
【作者单位】：浙江省海宁市中心医院急诊科;
【分类号】：R472.2

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