[1]杨敏婕 张琪 徐吉山缨* 王惠英.应用患者流信息实时监测平台提升急诊服务质量[J].中国卫生质量管理,2019,26(05):075-77.[doi:10.13912/j.cnki.chqm.2019.26.5.22]
点击复制

应用患者流信息实时监测平台提升急诊服务质量
分享到:

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第26卷
期数:
2019年05期
页码:
075-77
栏目:
服务质量
出版日期:
2019-09-28

文章信息/Info

作者:
杨敏婕 张琪 徐吉山缨* 王惠英
复旦大学附属华山医院
关键词:
急诊患者流实时监测急诊拥挤服务质量
Keywords:
Emergency Patient Flow Real-Time MonitoringEmergency Crowding Quality of Service
DOI:
10.13912/j.cnki.chqm.2019.26.5.22
摘要:
急诊患者流监测是缓解急诊拥挤的有效途径。通过集成急诊各终端松散的电子医疗服务数据,构建患者流实时监测平台,实现急诊预检、急诊患者流监测、抢救留观、输液、患者去向汇总、质检等功能。运行后,改善了急诊就诊秩序和拥堵情况。患者满意度从92.3%升至96.5%,质控耗时从人工统计的平均4.2小时/项减少至电子统计的平均5分钟/项,急诊患者平均留观天数从5.9天减少至2.4天。该平台的应用,能够提高医护配合度和应变能力,提高急诊诊疗效率,进而提升急诊服务质量。
Abstract:
Emergency patient flow monitoring is an effective way to alleviate emergency congestion. By integrating the loose electronic medical service data of each terminal in the emergency department, the real-time monitoring platform of patient flow was built to realize such functions as emergency pre-examination, emergency patient flow monitoring, rescue observation, infusion, patient destination summary and quality inspection. After operation, the emergency order and congestion were improved. The satisfaction of patients increased from 92.3% to 96.5%.The quality control time decreased from 4.2 hours per item in manual statistics to 5 minutes per item in electronic statistics, and the average stay days of emergency patients decreased from 5.9 days to 2.4 days. The application of this platform can improve the medical cooperation and strain capacity, improve the efficiency of emergency treatment, then further improve the quality of emergency services.

参考文献/References:

[1]王肖,徐腾达,尹文,等.急诊拥挤度评估与预报[J].中华急诊医学杂志,2011, 20(10):1023-1026. [2]Farley HL, Baumlin KM, Hamedani AG, et al. Quality and safety implications of emergency department information systems[J].AnnEmerg Med, 2013,62(4):399-407. [3]胡弘,杨敏婕,王惠英,等. 优化急诊输液室输液流程[J].中国卫生质量管理, 2016, 23(6): 26-28. [4]Tenbensel T, Chalmers L, Jones P, et al. New Zealand's emergency department target-did it reduce ED length of stay and if so, how and when[J].BMC Health Services Research, 2017(17): 678-693. [5]Daniel AH, Robert LW, Larry AN, et al. Using information technology to improve the quality and safety of emergency care[J].AcadEmerg Med, 2011, 18(6):45-51. [6]莫清飞,卢中秋. 综合性医院急诊科拥挤的现状及对策[J].临床急诊杂志, 2017, 18(1): 76-79. [7]Weiss SJ, Rogers DB, Maas F, et al. Evaluating community ED crowding: the community ED overcrowding scale study[J].Am J Emerg Med, 2014, 32(11):1357-1363. [8]Wang H, Robinson RD, Cowden CD, et al. Use of the SONET score to evaluate Urgent Care Center overcrowding: a prospective pilot study[J].BMJ Open, 2015, 5(4): e006860. [9]徐腾达, 于学忠, 沈洪,等. 多维急诊科拥挤评分量表编制[J].中华急诊医学杂志, 2016, 25(6): 814-819. [10]田玮,李卫红,张庆余,等. 急诊多发伤患者绿色通道的流程优化与信息化建设[J].中国病案, 2017, 18(5):16-18.

更新日期/Last Update: 2019-09-28