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find Keyword "分诊" 11 results
  • Influence of Different Emergency Reception and Triage Workflows between Wenchuan and Lushan Earthquakes on the Victim’s Length of Stay in Emergency Department

    Objective To explore the influence of two emergency reception and triages workflows between Wenchuan and Lushan earthquakes on the victim’s length of stay in emergency department of the West China Hospital of Sichuan University. Methods A total of 65 victims admitted in the West China Hospital within 12 hours after Lushan earthquake were retrospectively analyzed, and their diagnosis and treatment information and the length of stay in emergency department were collected and compared with those of the victims in Wenchuan earthquake. Then we analyzed the influence of two emergency reception and triage workflows on the length of stay of the batches of earthquake victims. Results For the Lushan earthquake victims, the median length of stay in the emergency reception and triage workflow was 0.51 hour, while that was 2.13 hours for the Wenchuan earthquake victims, with a significant difference (Plt;0.05). Conclusion The emergency reception and triage workflow for Lushan earthquake victims is a summarized experience and improvement based on that for Wenchuan earthquake, which can be used as references for treating batches of victims in the emergency department after a disaster.

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  • Management of Triage of the Wounded during Medical Rescue after the Wenchuan Earthquake

    During the medical rescue after the Wenchuan earthquake, in order to prevent hospital environmental pollution and cross infection, the nosocomial infection control committee of West China Hospital of Sichuan University immediately initiated the emergency response plan, improved the triage system, and organized multi-disciplinary infection control groups to improve the triage of the wounded and the infection control of the emergency department. At the same time, we regulated the individual behavior of healthcare professionals and took appropriate measures for personnel protection so as to ensure the safety of both the wounded and healthcare professionals.

    Release date:2016-08-25 03:36 Export PDF Favorites Scan
  • Analysis of the Treatment of Abdominal Injuries within 48 Hours after the Wenchuan Earthquake in a Second-line Grade-A Hospital

    Objective To analyze the outcome of patients with abdominal injury (AI) in the Chengdu Army General Hospital within 48 hours after the Wenchuan earthquake, in order to provide evidence for future improvement in emergency response after earthquakes and in the treatment of AI patients. Methods Data on the AI patients within 48 hours after the earthquake were collected from the Information Department of the Hospital. Microsoft EXCEL was used for data input. Results A total of 33 AI inpatients were treated which was 3.1% of the total inpatients. The AI inpatients suffered severe and complex injuries, and one of them died (mortality rate: 3%). Conclusion As a second-line Grade-A hospital,prompt triage is very important to patients who were rescued 48 hours after the earthquake. Reasonable damage control surgery and remedies prepared by medical staff from different specialties after the operations may decrease mortality rate.

    Release date:2016-09-07 02:09 Export PDF Favorites Scan
  • 分诊在眼科门诊的重要性

    随着医学的发展,各科的亚专业越来越细,尤其是眼科已分出的亚专业,如白内障、青光眼、斜弱视等,由于患者盲目就医及对眼科方面的知识缺乏,就会导致患者挂错号,这不仅耽误了就诊时间,甚至延误其病情,严重的还会造成不可挽回的损失。所以,正确地分诊十分必要,在患者就诊前,通过与患者接触和沟通,分析其病情,为患者提供正确的就医信息,使其能够及时、准确的挂号和得到有效的诊断及治疗,促进疾病早日康复。分诊已经成为眼科门诊患者就诊的一个重要环节。

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  • 加强分诊队伍建设,持续提升门诊患者就医体验

    【摘要】 总结加强分诊队伍建设,提高门诊医疗护理质量,持续提升门诊患者的就医体验的方法与经验。通过建立管理机制、加强分诊队伍人才培养、优化分诊队伍结构、完善考核体制、评价体系,提高分诊护士综合素质等措施,提高了门诊医疗护理质量及患者满意度及分诊护士的自身价值感和自信心。实践表明,加强分诊队伍建设,提高分诊护士整体素质结构是持续提升门诊患者就医体验至关重要的环节。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 拓展门诊分诊工作,提高门诊医疗服务质量

    【摘要】 目的 总结门诊分诊工作模式,以解决患者就诊前挂号咨询、导向服务方式问题,提高患者挂号就诊的准确性,提升医疗服务品质。 方法 于2009年6月成立门诊分诊服务中心,实现分诊、挂号一站式服务。指导患者分层次就诊,合理使用医疗资源,有效遏制“号贩子”、“医托”,保证患者就诊安全和就诊的对症性。 结果 明显提高患者挂号的准确性,实现医疗资源的合理利用,拓展了分诊服务工作内涵,达到了患者、医院双赢的效果。 结论 门诊分诊工作不仅满足患者需求,同时提升了门诊医疗服务质量,是医院门诊工作不可缺少的组成部份。

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • 心电图筛查在急诊胸痛患者分诊中的运用

    目的研究分诊护士对急诊胸痛患者分诊时实施心电图筛查的价值。 方法回顾性收集2013年1月-5月与2014年1月-5月以急性胸痛为主诉的急诊患者的临床资料并进行分析,其中2013年1月-5月胸痛患者540例为对照组,未实施心电图筛查;2014年1月-5月660例胸痛患者为观察组,对其实施了心电图筛查。比较在分诊时实施心电图筛查对患者危重程度的评估、早期确诊急性冠状动脉综合征(ACS)和意外事件发生率的影响。 结果观察组分诊至抢救室205例,其中需立即抢救者27例;对照组分诊至抢救室193例,其中需立即抢救者21例。分诊至普通诊断区的患者中,观察组和对照组首诊后转入抢救区的患者分别为42例(9.23%)和91例(26.22%),发生意外事件的患者分别为0例(0.00%)和11例(3.17%),最终确诊ACS患者分别为12例(2.64%)和23例(6.63%),观察组均低于对照组,差异有统计学意义(P<0.05)。分诊至抢救区的患者中,观察组和对照组确诊为ACS者分别为89例(43.41%)和62例(32.12%),差异有统计学意义(P<0.05)。同时实施心电图筛查后,急性胸痛患者分诊准确率由90.00%提高到96.52%,差异有统计学意义(P<0.05)。 结论在急诊预检分诊时,护士应用心电图筛查能有效提高急诊胸痛患者的分诊准确率,提高胸痛患者的早期抢救成功率,此方法值得在综合型医院急诊预检分诊区推广运用。

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  • Investigation of the Function of Modified Shock Index in the Disease Assessment of Emergency Cases

    ObjectiveTo research on the correlation between modified shock index (MSI), traditional vital sign assessment indexes and the proportion of patients entering resuscitation room through emergency triage, and to discuss its significance and advantages for emergency triage. MethodA total of 22 153 emergency patients between January 1 and May 31, 2009 were retrospectively analyzed. We counted the shock index (SI), mean arterial pressure (MAP), MSI, and evaluated the reference range of MSI, based on which, the patients were divided into groups, and the proportion of patients entering resuscitation room in each group was compared. Based on pulse, systolic blood pressure (SBP), SI, MAP and MSI, the patients were again grouped for comparing the proportion of patients entering resuscitation room, and the positive predictive value, negative predictive value, and odds ratio (OR) were also analyzed. ResultsReference value of MSI ranged from 0.34 to 1.70 times/(min·mm Hg) (1 mm Hg=0.133 kPa). Positive predictive values:MSI (16.239%) >MAP (6.115%) >pulse (5.746%) >SBP (5.321%) >SI (3.689%). The negative predictive values were all at high levels and similar with each other. OR:MSI (6.138) >MAP (2.498) >pulse (2.431) >SBP (2.117) >SI (1.361). ConclusionsPulse, SBP, SI, MAP, and MSI are correlated with the proportion of patients entering resuscitation room, and can be regarded as guide for emergency triage, among which MSI may be superior to all other indexes.

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  • Research on Pre-examination and Triage Service for Outpatients in Large General Hospitals

    ObjectiveTo explore the application of pre-examination and triage service for outpatients in large general hospitals to improve the quality of service and increase the satisfaction of the patients. MethodsBy using convenience sampling, the outpatients from four third-class A level hospitals were investigated with self-designed questionnaire between July and August, 2013. The patients were differentiated according to the frequency of visiting doctors; the first and subsequent visit being the variables, the rank-sum test was used to investigate the demand and satisficing of the pre-examination and triage service in the two kinds of outpatients in large general hospitals. ResultsThe satisficing of the pre-examination and triage service was high; the demand of the service was high in the first-visit patients with high satisficing. The difference in out-patient consultation between the two kinds of patients were significant. ConclusionPre-examination and triage service has a great guiding effect on outpatients in large general hospitals, and its availability is related to the type of the patients, awareness rate of the service and satisfaction to nurses.

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  • 急诊科护士分诊时初筛胸痛患者心电图在诊断急性冠状动脉综合征的作用

    目的 探讨护士在急诊科分诊时,针对胸痛患者进行心电图筛查在诊断急性冠状动脉综合征(ACS)的作用。 方法 回顾性分析实施分诊心电图筛查前(2013年1月-6月)和实施分诊心电图筛查后(2014年1月-6月)分诊至普通诊断室的胸痛患者中确诊为ACS的例数。对两组ACS患者检出率进行比较分析。 结果 护士在分诊时对胸痛患者进行心电图初筛后,分诊至普通诊断室的患者中ACS检出率低于未使用心电图初筛前,分别为1.74%和3.51%,差异有统计学意义(χ2=3.849,P<0.05)。 结论 在急诊科分诊对胸痛患者进行心电图初筛能降低分诊至普通诊断室的患者ACS检出率,降低了ACS患者在急诊滞留的风险,减少了医疗纠纷的发生,值得在临床推广使用。

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