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    刘赛, 陈旭, 颜静, 牛雪, 牛荣环, 陈亚坤, 许宁, 王晓翠. 候诊管理中流程分散策略联合二次分诊模式对急诊病人分诊服务质量的影响[J]. 蚌埠医科大学学报, 2022, 47(4): 555-557. DOI: 10.13898/j.cnki.issn.1000-2200.2022.04.032
    引用本文: 刘赛, 陈旭, 颜静, 牛雪, 牛荣环, 陈亚坤, 许宁, 王晓翠. 候诊管理中流程分散策略联合二次分诊模式对急诊病人分诊服务质量的影响[J]. 蚌埠医科大学学报, 2022, 47(4): 555-557. DOI: 10.13898/j.cnki.issn.1000-2200.2022.04.032
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    LIU Sai, CHEN Xu, YAN Jing, NIU Xue, NIU Rong-huan, CHEN Ya-kun, XU Ning, WANG Xiao-cui. Effect of the process decentralization strategy combined with secondary triage mode on the service quality of emergency patient triage in waiting management[J]. Journal of Bengbu Medical University, 2022, 47(4): 555-557. DOI: 10.13898/j.cnki.issn.1000-2200.2022.04.032
    Citation: LIU Sai, CHEN Xu, YAN Jing, NIU Xue, NIU Rong-huan, CHEN Ya-kun, XU Ning, WANG Xiao-cui. Effect of the process decentralization strategy combined with secondary triage mode on the service quality of emergency patient triage in waiting management[J]. Journal of Bengbu Medical University, 2022, 47(4): 555-557. DOI: 10.13898/j.cnki.issn.1000-2200.2022.04.032
    shu

    候诊管理中流程分散策略联合二次分诊模式对急诊病人分诊服务质量的影响

    Effect of the process decentralization strategy combined with secondary triage mode on the service quality of emergency patient triage in waiting management

      摘要
    • 摘要:
      目的分析在急诊病人候诊管理中应用流程分散策略联合二次分诊模式对分诊服务质量的影响。
      方法从2018年5月至2019年6月在首都医科大学附属北京潞河医院急诊科就诊的病人中随机抽取860例纳入研究，并随机分为2组，各430例。对照组给予常规分诊模式，观察组给予流程分散策略联合二次分诊模式。观察2组病人候诊时间及分诊准确情况；通过HAMA评分调查病人候诊焦虑情况；采用自建满意问卷表统计病人满意度；记录不良事件发生情况。
      结果观察组候诊时间短于对照组，分诊准确率高于对照组，HAMA评分及不良事件发生率低于对照组，病人总满意率高于对照组，差异均有统计学意义(P<0.01)。
      结论流程分散策略联合二次分诊模式应用于急诊病人候诊管理中，能够明显改善病人焦虑情绪，缩短候诊时间，减少不良事件的发生，提升分诊服务质量，应用价值较高。

       

      Abstract:
      ObjectiveTo analyze the effects of process decentralization strategy combined with secondary triage mode on the service quality of emergency patient triage in waiting management.
      MethodsFrom May 2018 to June 2019, 860 patients were randomly selected from the emergency department of Beijing Luhe Hospital Affiliated, and divided into the control group and observation group(430 cases in each group).The control group was given the routine triage mode, and the observation group was given the process decentralization strategy combined with secondary triage mode.The waiting time and accuracy of triage in two groups were observed.The patients' waiting anxiety was evaluated using the HAMA score.The self-designed satisfaction questionnaire was used to calculate the patient satisfaction, and the adverse events were recorded in the two groups.
      ResultsThe waiting time in observation group was shorter than that in control group, the triage accuracy in observation group was higher than that in control group, the HAMA score and incidence rates of adverse events in observation group were lower than those in control group, and the total satisfaction rate in observation group was higher than that in control group(P<0.01).
      ConclusionsThe process decentralization strategy combined with secondary triage mode in the application of emergency patient triage in waiting management can significantly improve the patients' anxiety, shorten the waiting time, reduce the incidence rate of adverse events and improve the quality of triage services, and it has higher application value.

       

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