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目的探讨全科医学科医护一体化危急值管理方法对保证临床正常工作及患者安全的效果。方法 2013年6月全科医学科成立危急值报告专项管理小组,调查2013年7月—12月危急值管理中出现漏填、记录错误等风险因素。2014年1月对危急值报告调查情况进行分析并制定、实施相应干预措施。分析干预前6个月(2013年7月—12月)和干预后6个月(2014年1月—6月)的微生物、电解质(钾、钠、氯、钙、镁、无机磷)的危急值项目登记合格率、护理处理合格率及医疗处理合格率的差异性。结果实施医护一体化危急值报告管理前后的危急值登记合格率分别为78.86%、97.31%,护理处理合格率分别为70.33%、98.65%,医疗处理合格率分别为59.76%、95.07%,管理后均较管理前明显提高,差异有统计学意义(P<0.05)。结论医护一体化危急值报告管理有助于规范临床科室危急值报告登记,提升医疗护理质量。
Objective To explore the effect of integrated management of critical illness and health care in general practice to ensure normal work and patient safety. Methods In June 2013, the Department of General Practice established a special management team on critical value reporting to investigate the risk factors of leakage and record errors in critical value management from July to December in 2013. In January 2014, we conducted an analysis of the investigation of the critical value report and formulated and implemented corresponding intervention measures. Analysis of the criticality of microorganisms, electrolytes (potassium, sodium, chloride, calcium, magnesium, inorganic phosphorus) in the first 6 months (July-December 2013) and the 6th month (January-June 2014) Value of the project registration rate of qualified nursing pass rate and medical treatment pass rate of difference. Results The critical value of the critical value before and after the implementation of the integrated management of critical value for medical and health care were 78.86% and 97.31% respectively. The passing rates of nursing were 70.33% and 98.65% respectively. The passing rates of medical treatment were 59.76% and 95.07% respectively. After the management, Which were significantly higher than those before the management, the difference was statistically significant (P <0.05). Conclusion The management of integrated medical emergencies report helps to regulate the registration of critical reports in clinical departments and improve the quality of medical care.