基于关键指标监测的双闭环管理在急诊预检分诊中的应用  

Application of double closed-loop management and monitoring of key performance indicators in emergency triage

作　　者：郑若菲[1] 陈晓欢[2] 简钢仁 林羽[2] 王圣芳 叶诚栋[1] 徐雯[1] Zheng Ruofei;Chen Xiaohuan;Jian Gangren;Lin Yu;Wang Shengfang;Ye Chengdong;Xu Wen(Emergency Department,Fujian Provincial Hospital,Fuzhou 350001,China)

机构地区：[1]福建省立医院/福建医科大学省立临床医学院急诊科,福建福州350001 [2]福建省立医院/福建医科大学省立临床医学院护理部,福建福州350001

出　　处：《护理学杂志》2021年第10期53-56,共4页Journal of Nursing Science

基　　金：福建省医疗“创双高”建设项目(闽政办[2017]4号)。

摘　　要：目的探讨基于关键指标监测的急诊预检分诊双闭环管理的效果。方法2019年1~6月对急诊患者实施常规预检分诊管理;2019年7~12月实施急诊预检分诊活动与监管双闭环管理,包括动态评估、规范处理、实时监控、持续改进,并利用信息化平台实现关键指标监测。结果2个时间段分别收集4550例、4670例患者资料。实施双闭环管理后,初次分诊准确率、目标响应时间达标率及急诊分诊满意度显著高于常规管理,候诊不良事件发生率显著低于常规管理(P<0.05,P<0.01);双闭环管理后分诊信息采集完整、二次分诊落实、二次分诊准确度3项关键指标落实率逐步提升。结论双闭环管理联合关键指标监测,可有效提高急诊预检分诊质量与效率,提升患者满意度,保障急诊患者安全。Objective To explore the effect of double closed-loop management and monitoring of key performance indicators in emergency triage.Methods We performed conventional triage in emergency department from January to June 2019,and conducted double closed-loop management of triage activities and supervision from July to December 2019,including dynamic evaluation,standardized processing,real-time monitoring,continuous improvement and monitoring of key performance indicators.Results Data were collected from 4550 patients receiving conventional triage and 4670 receiving double closed-loop management.The accuracy rate of primary triage,the standard-reaching rate of response and the rate of patient satisfaction with triage were significantly enhanced after implementation of the double closed-loop management,whereas the rate of adverse events during waiting time was significantly reduced(P<0.05,P<0.01).The rates of complete triage information collection and secondary triage completion,as well as accuracy rate of secondary triage were gradually increased.Conclusion Double closed-loop management combining monitoring of key performance indicators effectively improve the quality and efficiency of emergency triage,enhance patient satisfaction and guarantee patient safety.

关 键 词：急诊预检分诊 初次分诊 二次分诊 关键指标 闭环管理 

分 类 号：R471[医药卫生—护理学] C931.9[医药卫生—临床医学]