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目的:探讨急诊内科老年患者误诊因素及管理办法,提高诊断准确率,保证患者安全。方法:以浙江省宁波市北仑区人民医院2013年4月~2014年3月急诊内科收治的268例老年患者作为研究对象,对发生误诊患者的误诊因素进行细致分析,制订有效的管理措施。对2014年4月~2015年3月期间收治的276例老年患者实施管理措施,对该阶段出现的误诊情况进行记录。比较分析实施前后误诊发生情况。结果:急诊内科老年患者误诊率明显降低(P<0.05)。结论:急诊内科老年患者误诊因素相对较多,需在全面分析患者病情的基础上,及时总结经验,提高诊断的准确率。
Objective: To explore the misdiagnosis factors and management methods of elderly patients in emergency department to improve the diagnostic accuracy and ensure the safety of patients. Methods: A total of 268 elderly patients admitted to Beilun District People’s Hospital of Ningbo City, Zhejiang Province from April 2013 to March 2014 were selected as the research objects. The misdiagnosis factors of misdiagnosed patients were analyzed carefully to establish effective management measures. The management of 276 elderly patients admitted between April 2014 and March 2015 was recorded and the misdiagnosis occurred during this period was recorded. Comparative analysis before and after the implementation of misdiagnosis. Results: The misdiagnosis rate of elderly patients in emergency department was significantly lower (P <0.05). Conclusion: There are a lot of misdiagnosis factors in elderly patients in emergency department. Based on the comprehensive analysis of the patients’ condition, the experience should be summed up in time to improve the diagnostic accuracy.