目的探讨时间节点管理在严重创伤患者的急诊抢救流程中的应用效果。方法台州医院急救中心从2018年7月1日开始在严重创伤患者的急诊抢救流程中实行时间节点管理。收集2018年台州医院急救中心急诊抢救的严重创伤患者共440例,从2018年1月开始采用统一的入组标准收集研究对象的资料信息,为期1年。将2018年1月至2018年6月入组的216例患者作为对照组,采用传统流程和方法进行抢救救治;将2018年7月至2018年12月入组的224例患者作为观察组,实施时间节点管理抢救流程和方法。比较两组各抢救环节的滞留时间、医疗安全不良事件发生率及抢救成功率。结果经过时间节点管理,观察组在建立高级生命支持时间、辅助检查等待时间、拟定治疗方案时间等关键节点时间均较对照组缩短5 min以上,同时各个环节节点的时间均有不同程度的减少,且差异有统计学意义(P <0.05)。此外,观察组医疗安全不良事件发生率2.68%,抢救成功率99.55%,而对照组不良事件发生率6.94%,抢救成功率96.30%,两组在医疗安全不良事件发生率及抢救成功率方面差异也有统计学意义(P <0.05)。结论时间节点管理能有效缩短严重创伤患者在急救中心的滞留时间,降低医疗安全不良事件发生率,提高抢救成功率。Objective To investigate the effect of time node management on emergency rescue process of seriously traumatic patients. Methods Emergency Center of Taizhou Hospital began implementing " time node management" in the emergency rescue process for severe trauma patients from July 1,2018. In 2018,a total of 440 patients with severe trauma were rescued in the emergency department of Taizhou hospital. From January onwards,a unified entry standard was adopted to collect the information of the research subjects for a period of one year. 216 patients who entered the group from January 2018 to June 2018 were taken as control group and rescued by traditional procedures and methods. A group of 224 patients from July 2018 to December 2018 were taken as the observers to implement the " time node management" rescue process and method. The differences in the retention time,the incidence of medical safety adverse events and the rescue success rate between the two groups were compared. Results After time node management,the observation group reduced the time of key nodes such as advanced life support time,the waiting time of auxiliary examination,and formulating treatment plan time by more than 5 minutes compared with the control group,and the time of each node was reduced to varying degrees,and the differences were statistically significant( P < 0. 05). The incidence of medical safety adverse event was 2. 68% and the rescue success rate was 99. 55% in the observation group,there were also significant differences compared with the control group( 6. 94% and96. 30%,P < 0. 05). Conclusion The time node management can effectively shorten the time spent in the emergency center,reduce the incidence of medical safety adverse events,improve the rescue success rate.
机构地区台州医院急救中心 台州医院血管外科
出处《中国急救医学》 CAS CSCD 北大核心 2021年第2期141-143,共3页Chinese Journal of Critical Care Medicine
关键词时间节点管理 严重创伤 抢救 流程Time node management Severe trauma Rescue Process
分类号R47 [医药卫生—护理学]
