| 陈冬梅.院内急救流程再造应用于急性中毒患者的效果评价[J].上海护理,2021,21(S1): |
| 院内急救流程再造应用于急性中毒患者的效果评价 |
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| DOI： |
| 中文关键词: 中毒 抢救 急诊 流程再造 |
| 英文关键词:Poisoning rescue emergency treatment process reengineering |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨院内急救流程再造应用于急性中毒患者的实际效果。方法 收集2018年3月-2019年2月(流程再造前)100例来我院急诊科接受治疗的急性中毒患者资料,作为对照组。收集2019年3月-2020年2月(流程再造后)100例来我院急诊科接受治疗的急性中毒患者资料,作为试验组。针对中毒患者的预检分诊,评估,转运、治疗等流程进行优化。重点对易出现延误情况的环节生成针对性、标准化的处置方案。比较流程再造前和流程再造后急性中毒患者的抢救时间、住院时间、治疗满意度、存活率。结果 再造后患者从入院至洗胃开始所用时间、洗胃持续时间,均比再造前缩短,差异有统计学意义(P ＜ 0.001)。再造后患者入院至血液净化管路开通时间、至血液灌流开始时间,均比再造前提前,差异有统计学意义(P ＜ 0.001)。结论 对院内中毒急救流程进行再造,有利于强化院内各部门合作,提高急救效率,减少抢救过程中不必要的是时间浪费,缩短急性中毒患者的抢救时间。 |
| 英文摘要: |
| Objective To explore the actual effect of hospital emergency process reengineering applied to patients with acute poisoning. Methods The data of 100 patients with acute poisoning who came to our hospital"s emergency department for treatment from March 2018 to February 2019 (before process reengineering) were collected and served as a control group. The data of 100 acute poisoning patients who came to our hospital"s emergency department for treatment from March 2019 to February 2020 (after process reengineering) were collected as the experimental group. Optimize the process of pre-examination, triage, evaluation, transfer, and treatment of poisoned patients. Focus on generating targeted and standardized solutions for links that are prone to delays. Compare the rescue time, hospitalization time, treatment satisfaction, and survival rate of acute poisoning patients before and after process reengineering. Results The time from admission to the start of gastric lavage and the duration of gastric lavage after the reconstruction were shorter than those before the reconstruction, and the difference was statistically significant (P <0.001). The time after the patient was admitted to the hospital to the opening of the blood purification circuit and the start of hemoperfusion after reconstruction were earlier than before the reconstruction, and the difference was statistically significant (P <0.001). Conclusion Reengineering the first-aid process of poisoning in the hospital is conducive to strengthening the cooperation of various departments in the hospital, improving the efficiency of first-aid, reducing unnecessary waste of time in the rescue process, and shortening the rescue time of patients with acute poisoning. |
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