急性非创伤性腹痛分诊误诊的影响因素分析  

The factors influencing the accuracy of triage for patients with acute non-traumatic abdominal pain

作　　者：汪显祺[1] 

机构地区：[1]陕西省安康市中心医院急诊科,陕西安康725000

出　　处：《临床和实验医学杂志》2015年第4期322-325,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨急性非创伤性腹痛分诊误诊的影响因素。方法采用自制的信息收集表,对2010年5月至2014年5月期间在急诊科收治的860例患者,收集就诊的医疗记录和分诊记录回顾性调查急性非创伤腹痛分诊误诊的影响因素。结果总共调查860例,误诊为45例,误诊率为5.2%。多因素的Logistic回归分析发现疾病涉及多个交叉科室、相同症状不同疾病、病人和家属隐瞒病史、护士自身因素问题以及急诊病人数量增多等五项因素是非创伤性腹痛分诊误诊的影响因素。结论急性非创伤腹痛分诊误诊与疾病本身因素、医院性因素以及病人家属三者因素共同作用而致,需要在这三个方面进行调整,提高急诊分诊的准确率,使患者得到及时和准确治疗。Objective To investigate the facts influencing the accuracy of triage for patients with acute non-traumatic abdominal pain.Methods The self-made table was used to collect the clinical medical record and triage data of 860 patients admitted in the emergency department of our hospital during May 2010 to May 2014.The influence factors on the wrong triage for acute non-traumatic abdominal pain were retrospective analyzed.Results Of 860 patients,45 were wrong triaged（ 5.2%）.Logistic multiple factors regression analysis found that the influence factors for the wrong triage were the following： 1 the disease related to several hospital departments; 2 the same symptoms presented in different diseases; 3 patient or family members hided relevant medical information; 4 the overall level of nurse; 5 increased number of emergency patients.Conclusion The study found that disease nature,hospital and patients are all involved in the wrong triage for patients with acute non-traumatic abdominal pain.The improvement in these three aspects should enhance the accuracy in emergency triage and make timely and accurate treatment for the patients.

关 键 词：急性非创伤性腹痛 分诊误诊 影响因素 

分 类 号：R656.1[医药卫生—急诊医学]