门诊护士定岗定位急救方案的构建及应用效果评价  

Construction and effectiveness evaluation of emergency care mode with fixed position and station for outpatient nurses

作　　者：范清秋[1] 金静芬[2] 阮红芳[1] 胡莹莹 陈维娅[1] 祝一颖 

机构地区：[1]浙江大学医学院附属第二医院门诊,杭州市310009 [2]浙江大学医学院附属第二医院护理部,杭州市310009

出　　处：《中华护理杂志》2017年第11期1333-1337,共5页Chinese Journal of Nursing

基　　金：2016年浙江省教育厅一般科研项目(Y201636380)

摘　　要：目的建立门诊护士定岗定位急救方案,并对其应用效果进行评价。方法针对目前门诊急救中存在的问题,成立改进小组,建立门诊护士定岗定位急救方案,比较急救方案实施前后突发事件急救启动时间、急救成功率及门诊急救纠纷和投诉事件发生率。结果门诊护士定岗定位急救方案实施后,突发事件急救启动时间从(5.45±1.21)min缩短为(2.71±0.97)min,急救成功率从82.50%提高到96.55%,因急救事件引起的投诉和纠纷发生率从12.50%下降到1.72%,差异均具有统计学意义(P<0.05)。结论门诊护士定岗定位急救方案的实施缩短了门诊患者意外发生后的急救启动时间,提高了急救成功率,减少了门诊急救投诉和纠纷率,进一步完善了医院的急救体系。Objective To establish an emergency care and to evaluate the effectiveness of this mode. Methods tern-improving team was formed,and the emergency care mode with fixed position and station for outpatient nurses Current problems in emergency care were analyzed,a sys- mode with fixed position and station for outpatient nurses was established. Emergency care start-up time, successful emergency rescue rate and rate of disputes and complaints caused by emergency issues were compared before and after application of the mode. Results After application,e- mergency care start-up time was reduced from （5.45±1.21）rain to （2.71±0.97）min;successful emergency rescue rate was increased from 82.5% to 96.55% ;rate of disputes and complaints caused by emergency issues was decreased from 12.5% to 1.72%. All differences were statistically significant（P〈0.05）. Conclusion The emergency care mode with fixed position and station for outpatient nurses can shorten emergency care start-up time,increase successful e- mergency rescue rate ,reduce rate of disputes and complaints caused by emergency issues,and further improve gen- eral emergency system of the hospital.

关 键 词：急救医疗服务 门诊医疗 效果评价 

分 类 号：R47[医药卫生—护理学]