紧急医学救援急诊快速响应救护模式的构建  

Construction of the rapid response rescue mode in emergency departments

作　　者：孙莉[1] 庄长娟[1] 刘蕊 曹文卓 史根芽 鞠莹 张丽[1] 王瑞 史铁英[1] SUN Li;ZHUANG Changjuan;LIU Rui;CAO Wenzhuo;SHI Genya;JU Ying;ZHANG Li;WANG Rui;SHI Tieying(Nursing Department of the First Affiliated Hospital of Dalian Medical University,Dalian,Liaoning province,116011,China)

机构地区：[1]大连医科大学附属第一医院护理部,辽宁省大连市116011

出　　处：《中国护理管理》2021年第12期1766-1770,共5页Chinese Nursing Management

摘　　要：目的:通过构建紧急医学救援快速响应救护模式,科学应对紧急突发事件,提升救治效率。方法:以突发事件应急管理理论为基础,伤(病)员为中心,急诊室为枢纽,应急办、医务部、护理部等多学科团队为保障,以提升医院满意度、提高紧急医学救援的救治效率为导向,构建“三通道、两响应、一提升”的紧急医学救援急诊快速响应救护模式。结果:项目实施后急诊室滞留时间、预检分诊用时、医护人员响应时间、患者转运时间均缩短,应急反应能力评分由(78.20±3.60)分提高至(96.70±1.70)分,医护抢救配合满意度由87.5%提升至98.8%,急诊患者对医院满意度由87.5%提升到96.7%,差异均具有统计学意义(P<0.05)。结论:紧急医学救援急诊快速响应救护模式可缩短伤(病)员救治时间,增强医护人员应急反应能力,进而促进护理质量提升。Objective:To establish an emergency medical rescue mode to ensure rapid and effective response and treatment to medical emergencies.Methods:The rapid response rescue mode was developed according to the theory of emergency management with the injuried(patients)being the main focus,emergency departments the key center and a multidisciplinary team including the emergency response office,medical department and nursing department for support.The service-and-efficiency-oriented mode was consisted of three channels and two responding systems to promote emergency rescue capacity and patients’satisfaction.Results:Compared with the data collected before its implementation,the emergency room retention time,the time for pretriage decreased.An obvious decreasing trend was also noticed when analyzing the response time and the transfer and hand of patients.The score of emergency response ability[(78.20±3.60)vs(96.70±1.70)]as well as the satisfaction degree of both medical staff(87.5%vs 98.8%)and patients(87.5%vs 96.7%)had significantly increased(P<0.05).Conclusion:Implication of the rapid response rescue mode in emergency departments can effectively shorten the treatment time of the injured(patients),enhance the medical response capacity,and improve nursing quality.

关 键 词：紧急医学救援 急诊 快速响应救护模式 护理质量 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]