某三级甲等综合医院急诊抢救室患者收治情况分析与启示  

Comprehensive Information of Patient Treatment in Emergency Room of One Tertiary Grade A Hospital: Analysis and Inspiration

作　　者：姚琳[1] 柳清霞 王薇[2] YAO Lin a;LIU Qing-xia b;WANG Weib(Dept.of Emergency;Dept.of Nursing Administration,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院急诊科,北京100029 [2]中日友好医院护理部,北京100029

出　　处：《护理学报》2018年第18期22-26,共5页Journal of Nursing（China）

摘　　要：目的调查某三级甲等综合医院急诊科抢救室收治患者情况。方法回顾性分析2016年10月1日—2017年9月30日某三级甲等综合医院急诊抢救室救治患者情况,包括年龄、性别、救治时间、重点病种及其滞留时间等。结果该院急诊抢救室共收治患者5 245例次,以男性居多,3 058例次(58.30%);多为60岁以上患者,3 571例次(68.10%);全天就诊高峰为10:00,全年就诊高峰为冬季,共收治患者1 396例次(26.62%);抢救的七大病种中以急性脑卒中和急性心肌梗死患者的比例最高,分别为353例次(46.70%)和210例次(27.80%);急性心肌梗死患者在抢救室滞留时间<1.5 h在所有重点病种中居多,74例次(9.80%);各病种患者滞留抢救室时间比较,差异有统计学意义(χ~2=155.620,P<0.01)。结论该院急诊抢救室全天就诊高峰为10:00,全年就诊高峰为冬季,年龄分布呈老龄化,非I级患者留观期间存在转抢救室救治情况;以急性脑卒中、急性心肌梗死为主,其中,急性心肌梗死患者在抢救室滞留时间<1.5 h的占比最高。急诊管理者应根据患者救治特点合理调配人力物力,避免上午患者拥挤过度,提高医护人员提高预检分诊的准确性和危重患者的救治能力,优化重点病种的管理流程,缩短等待时间。Objective To investigate the comprehensive information of patient treatment in the emergency room of one tertiary grade A hospital. Methods Retrospective analysis was conducted for patient treatment information in the emergency room from October 1, 2016 to September 30, 2017, including age, gender, treatment time, key diseases, and retention time, etc. Results In the study, 5,245 patients were admitted to the emergency room, with 3,058 males （58.30%） and the majority of the patients were over 60 years old （3,571 cases, 68.10%）. Patients overcrowded at the peak time of 10：00 at daytime and winter witnessed patients’ overcrowding （1,396 cases, 26.62%） in the emergency room throughout the year. Acute stroke and acute myocardial infarction topped the list of seven key diseases, with 353 patients （46.70%） and 210 patients （27.80%）, respectively. The retention time of acute myocardial infarction patients （74 cases, 9.80%） was the less than 1.5h and the retention time in emergency room of patients with various diseases showed statistical significance（？字2=155.620, P〈0.01）. Conclusion Winter and 10：00. at daytime witness the peak of patients’ admission and there are increasing elderly patients admitted to emergency room. Patients in the observation period, transmission to emergency room also occurs. Acute stroke and acute myocardial infarction top the list of seven key diseases in emergency room and the proportion of acute myocardial infarction patients with retention time less than 1.5h is the highest. The characteristics of patient treatment in emergency room are helpful for the reasonable allocation of various resources and the escape of patients’ overcrowding in the peak time. They are also beneficial to improving the accuracy of the pre-examination and triage, enhancing the treatment for critically ill patients, promoting the management for key diseases and shortening the waiting time.

关 键 词：急诊 抢救室 重点病种 滞留时间 

分 类 号：R472.2[医药卫生—急诊医学]