危重患者早期识别管理模式在心脏外科安全管理中的应用  

Early recognition of deteriorating patient program in department of cardiac surgery

作　　者：秦春香[1] 毛平[2] 肖鹏[1] 曾赛男[3] 谢建飞[2] 丁四清[2] 

机构地区：[1]中南大学湘雅三医院心胸外科,长沙410013 [2]中南大学湘雅三医院护理部,长沙410013 [3]中南大学湘雅三医院手术室,长沙410013

出　　处：《中南大学学报（医学版）》2014年第3期307-312,共6页Journal of Central South University ：Medical Science

基　　金：湖南省自然科学基金(S2012J5043)~~

摘　　要：目的:探索危重患者早期识别管理模式在心脏外科安全管理中的应用及效果评价。方法:将危重患者早期识别管理模式应用于心脏外科团队,包括心脏外科医生、心脏外科病房护士、心脏外科监护室护士、心脏外科手术室护士,比较该模式应用前及应用后半年护士满意度、医生满意度、交接班所用时间、危重患者交接班得分、术后患者非计划监护室再入住率的差异。结果:危重患者早期识别管理模式应用后,提升了护士和医生对病情交接的满意度,交接班需要的时间减少了0.56 min/人次(t=2.22,P<0.05),危重患者床旁交接班得分提高了19.59分(t=30.57,P<0.001),术后患者非计划监护室再入住率降低了4.8%(χ2=4.14,P<0.05)。结论:危重患者早期识别管理模式在心脏外科中的应用,提升了患者的安全,增强了护士的自信,也提高了工作效率。Objective: To explore the application and the ef ect of early recognition of deteriorating patient program in department of cardiac surgery. Methods: We used the early recognition of deteriorating patient program in the cardiac surgery groups, including cardiac surgeons, nurses in ward, ICU and operation rooms of the cardiac surgery department, and compared the satisfaction of nurses and doctors, handover time, handover score of critical patients, and rate of unplanned ICU admission before and at er the intervention. Results: After using the early recognition of deteriorating patient program, the satisfaction of doctors and nurses was increased, the handover time was lowered 0.56 min/time(t=2.22, P<0.05), the handover score of critical patients enhanced by 19.59 points(t=30.57, P<0.001), the rate of unplanned ICU readmission at er the operation reduced by 4.8%(χ2=4.14, P<0.05).Conclusion: Early recognition of deteriorating patient program can improve the safety of cardiac patients, enhance the self-coni dence of nurses and work ei ciency.

关 键 词：危重患者 早期识别 心脏外科 安全管理 

分 类 号：R654.2[医药卫生—外科学]