急救流程清单式管理模式在胸痛患者护理风险管理的应用  

The Application of an Emergency Process Checklist Management Model in the Risk Management of Nursing Care for Patients with Chest Pain

作　　者：叶倩 郑垚 柳嘉玉 YE Qian;ZHENG Yao;LIU Jiayu(Shangrao City Hospital Shangrao City,Shangrao 334000,China)

机构地区：[1]上饶市立医院急诊科,上饶334000

出　　处：《中国医药指南》2024年第28期123-126,共4页Guide of China Medicine

摘　　要：目的探讨急救流程清单式管理模式在胸痛患者护理风险管理的应用效果。方法按照随机数字表法抽取我院胸痛患者,选择2023年1月至2024年1月就诊的60例胸痛患者,对照组采用常规护理,观察组采用流程清单式管理模式,对比早期预警评分、预检分诊正确率、胸痛流程时间窗、病情观察及风险管理、胸痛患者留滞中位数、预后效果。结果观察组早期预警评分、预检分诊正确率、胸痛流程时间窗、胸痛患者留滞中位数更优(P<0.05)。观察组患者血管再通率高于对照组,观察组并发症发生率以及周内死亡人数低于对照组(P<0.05)。结论在胸痛患者护理风险管理中采用急救流程清单式管理模式能够及时有效规避胸痛患者护理风险,实现质量管理前置,有效缩短抢救时间,降低不良事件发生率。Objective To explore the application effect of the checklist management model of emergency procedures in the nursing risk management of patients with chest pain.Methods A total of 60 patients with chest pain in our hospital were selected according to the random number method,and 60 patients with chest pain who visited from January 2023 to January 2024 were selected.Results Early warning score,correct rate of pre-screening triage,time window of chest pain process,and median number of patients retained with chest pain were better in the observation group(P<0.05).The revascularization rate of patients in the observation group was higher than that of the control group,and the complication rate as well as the number of deaths within weeks were lower in the observation group than in the control group(P<0.05).Conclusions The use of the first aid process checklist management model in the nursing risk management of patients with chest pain can effectively avoid the nursing risks of patients with chest pain in a timely manner,realize the pre-positioning of quality management,effectively shorten the rescue time,and reduce the incidence of adverse events.

关 键 词：急救流程清单式管理模式 护理风险管理 胸痛 抢救 不良事件 

分 类 号：R561[医药卫生—呼吸系统] R473.5[医药卫生—内科学]