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目的:探讨急诊外科患者数量的多少是否影响电子病历的使用。方法:以2014-11-2015-04在我院急诊外科就诊的患者为A组,2015-05-2015-10就诊的患者为B组,2组时间内接诊医师无人事、人员数量变动,均为8名医师;对每位接诊医师在A组及B组所接诊患者的数量,电子病历使用率,患者等待医生看诊总时间和收入院患者的总体等待入院时间进行对比分析。结果:A组内单个医师接诊患者量为(2 256±124)例,B组为(3 036±195)例,2组差异有统计意义(t=7.82,P<0.05)。A组电子病历完成率为(94.5±2.3)%,B组电子病历完成率为(94.0±1.3)%,2组差异无统计学意义。A组患者等待就诊时间为(12.2±2.1)min,B组为(13.2±1.7)min,2组差异无统计学意义。A组收住院患者住院时间为(77.2±8.8)min,B组为(72.8±5.9)min,2组差异无统计学意义。结论:急诊外科患者的数量并不影响结构化电子病历的使用,也不影响患者的等待时间和入院时间,应大力推行电子病历的使用。
Objective: To investigate whether the number of emergency surgical patients affects the use of electronic medical records. Methods: The patients in our emergency department were treated as Group A in 2014-11-2015-04, the patients in Group B were treated in 2015-05-2015-10, the number of doctors in the two groups was no change, All of them were 8 physicians. The number of patients admitted to group A and group B, the use of electronic medical record, the total waiting time of patients waiting for doctors and the total waiting time for admission of patients in receiving hospitals were compared. Results: The number of admissions by a single physician in group A was (2 256 ± 124) cases in group A and (3 036 ± 195) cases in group B, the difference was statistically significant (t = 7.82, P <0.05). The completion rate of electronic medical records in group A was (94.5 ± 2.3)%, and that of electronic medical records in group B was (94.0 ± 1.3)%. There was no significant difference between the two groups. The waiting time for treatment in group A was (12.2 ± 2.1) min and in group B was (13.2 ± 1.7) min, there was no significant difference between the two groups. The hospital stay in group A was (77.2 ± 8.8) min and in group B was (72.8 ± 5.9) min, there was no significant difference between the two groups. Conclusion: The number of emergency surgical patients does not affect the use of structured electronic medical records, nor does it affect the patient’s waiting time and admission time, and the use of electronic medical records should be vigorously pursued.