基于NEWS的急诊早期预警系统的构建及临床应用研究  

Construction and clinical application study for NEWS-based emergency early warning systems

作　　者：陈秋菊[1] 董珊 陈雁[1] 袁玲[1] 罗彩凤 朱欢欢[1] CHEN Qiuju;DONG Shan;CHEN Yan;YUAN Ling;LUO Caifeng;ZHU Huanhuan(Nursing Department,Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School,Nanjing 210008,China;Nursing Faculty,Medical College of Jiangsu University,Zhenjiang 212001,China)

机构地区：[1]南京大学医学院附属鼓楼医院护理部,南京市210008 [2]江苏大学医学院护理系,镇江市212001

出　　处：《护理管理杂志》2023年第6期413-417,共5页Journal of Nursing Administration

基　　金：2010年度国家临床重点专科建设项目(卫办医政函[2011]872号);2017年度南京市医学科技发展项目[宁卫规财(2018)5号];2021年南京大学现代管理与发展研究所立项课题项目(NDYG2021045)。

摘　　要：目的 探讨基于NEWS构建急诊早期预警系统的实践与效果。方法 通过文献研究及Delphi法制定基于NEWS的急诊患者分级预警及干预方案,并构建急诊早期预警信息系统进行临床应用。采用类实验研究方法,选取南京市某三级甲等综合性医院急诊室2020年3月至5月符合纳入标准的所有急诊留观及抢救患者1 131例为干预组,选取运行前1年同期即2019年3月至5月符合纳入标准的所有急诊留观及抢救患者1 005例为对照组,两组患者均按照分级护理制度要求及急诊专科护理常规进行护理,干预组在此基础上应用急诊早期预警系统进行干预。结果 干预组生命体征测量频率、抢救成功率显著高于对照组,护理不良事件发生率显著低于对照组,急诊医护人员安全态度的6个不同维度均有改善,差异有统计学意义(P<0.05)。结论 急诊早期预警系统提高了医务人员的安全态度,减少了护理不良事件的发生,提高了急诊患者的生命体征测量频次和抢救成功率,保障了患者预后及安全。Objective To explore the practice and effect of building emergency early warning system based on NEW.Methods Based on literature research and Delphic method,a news-based hierarchical warning and intervention plan for emergency patients was developed,and an emergency early warning information system was constructed for clinical application.A quasi-experimental study method was used to select 1131 patients who met the admission criteria for emergency observation and rescue in the emergency room of a grade-Ⅲgrade A gen-eral hospital in Nanjing from March to May 2020 as the intervention group,and 1005 patients who met the admission criteria for emergency observation and rescue in the same period one year before operation from March to May 2019 as the control group.The patients in both groups received nursing care according to the requirements of graded nursing system and the routine of emergency specialized nursing,and the inter-vention group applied the emergency early warning system on the basis.Results The frequency of vital signs measurement and success rate of rescue in the intervention group were significantly higher than those in the control group,the incidence of nursing adverse events was signifi-cantly lower than that in the control group,and the six different dimensions of safety attitude of emergency medical staff were improved,with statistical significance(P<0.05).Conclusion Emergency early warning system can improve the safety attitude of medical staff,reduce the occurrence of adverse nursing events,improve the frequency of vital signs measurement and rescue success rate of emergency patients,and en-sure the prognosis and safety of patients.

关 键 词：NEWS 急诊 早期预警系统 信息化 护理 

分 类 号：R473.6[医药卫生—护理学]