可视化院前院内信息衔接技术在急诊危重症患者预检分诊中的应用  

The application of visualization pre-hospital and in-hospital information connection technique in pre-examination and triage of emergency critically ill patients

作　　者：周萍 姜泽伟 谢美琴 Zhou Ping;Jiang Zewei;Xie Meiqin(Department of Emergency,Affiliated Hospital of Jiaxing University,the First Hospital of Jiaxing,Jiaxing 314000,Zhejiang,China)

机构地区：[1]嘉兴大学附属医院嘉兴市第一医院急诊科,浙江嘉兴314000

出　　处：《中国中西医结合急救杂志》2024年第3期333-336,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：浙江省嘉兴市科技计划项目(2023AY31020)。

摘　　要：目的探讨可视化院前院内信息衔接技术在急诊危重症患者预检分诊中的应用效果。方法选取2023年3至8月由120转送至嘉兴大学附属医院嘉兴市第一医院急诊科的危重症患者作为研究对象。采取前瞻性非同期对照研究方法,以2023年6至8月由120转送至本院的90例危重症患者作为试验组,以2023年3至5月由120转送至本院的90例危重症患者作为对照组。对照组建立可视化院前院内信息衔接技术前,当患者或家属呼叫急救车,院前急救人员将患者送达医院后,通过口头或书面形式与院内医护人员进行交接,预检护士接诊患者进行病情评估,并获取患者身份信息协助建卡挂号,同时院内医护人员对患者进行规范化处置;试验组建立可视化院前院内信息衔接技术后,当患者或家属呼叫急救车,院前急救人员通过急救中心专用APP将患者的基本信息(姓名、性别、年龄、生命体征、病情等级等)对应输入,并向目标网络医院推送相关信息,预检护士通过院前院内协同救治平台接收急救车即将到达的信息,在急诊预检系统中获取院前提供的患者基本信息,提前进行建卡及预挂号,开通绿色通道,同时院内医护人员根据120医生评估的病情等级制定抢救方案。比较两组危重症患者完成建卡时间、预检护士完成分诊时间以及患者/家属对急诊就诊流程满意度的差异。结果试验组危重症患者完成建立卡时间、预检护士完成分诊时间均较对照组明显缩短〔完成建卡时间(min):1.3±0.3比2.6±0.4,预检护士完成分诊时间(min):1.1±0.3比3.5±0.7,均P<0.05〕,而患者/家属对急诊就诊流程的满意度明显提升〔95.6%(86/90)比86.7%(78/90),P<0.05〕。结论建立可视化院前院内信息衔接技术,实现了院前院内数据传输,真正做到“病人未到,信息先行”,有效缩短了危重症患者的预检分诊时间,为急危重症患者赢得了抢救时机,提高了普�Objective To explore the application effect of visualization pre-hospital and in-hospital information connection technique in pre-examination and triage of emergency critically ill patients.Methods The critically ill patients transferred by 120 ambulances to the Affiliated Hospital of Jiaxing University,the First Hospital of Jiaxing from March to August 2023 were selected as research objects.Prospective non-concurrent control was adopted.The 90 critically ill patients transferred by 120 ambulances to our hospital from June to August 2023 were used as an experimental group,while the 90 critically ill patients transferred by 120 ambulances to our hospital from March to May 2023 were used as a control group.Before establishing visualization pre-hospital and in-hospital information connection technique,the patients or their family members in the control group called an ambulance;after pre-hospital rescuers sent the patients to the hospital,they connected with in-hospital medical workers in an oral or written form;preexamination nurses received the patients,performed illness evaluation,obtained their identity information,and helped card registration;and meanwhile,the in-hospital medical workers conducted standardized treatment for the patients.After establishing visualization pre-hospital and in-hospital information connection technique,the patients or their family members in the experimental group called an ambulance;pre-hospital rescuers input corresponding basic information of the patients(including name,gender,age,vital sign,severity of illness,etc.)via the special APP of the emergency center,and pushed relevant information to the target network hospital;pre-examination nurses received the message that the ambulance was about to arrive via the pre-hospital and in-hospital collaborative treatment platform,obtained the basic information of the patients provided before admission in the emergency pre-examination system,performed card registration in advance,and opened a green channel;and meanwhile in-hospital medical

关 键 词：可视化 信息衔接 预检分诊 

分 类 号：R459.7[医药卫生—急诊医学]