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目的:分析急诊预检分诊存在的隐患原因与相应防范措施。方法:选取于2013年2月~2015年12月浙江省绍兴市第二医院进行急诊的389例患者为对象,随机将其分为对照组194例和观察组195例。对照组患者在入院时按照常规预检分诊程序进行工作。观察组则在患者入院预检分诊期间,针对患者个体病情差异给予相应防范措施。比较两组患者预检分诊时分诊准确度及不良事件发生率。结果:观察组患者的预检分诊准确率,明显高于对照组(P<0.05),且不良事件发生率也明显低于对照组(P<0.05)。结论:在采取相应防范措施后,急诊患者入院时的预检分诊准确率,有了极大提高,进一步减少了不良事件发生率。
OBJECTIVE: To analyze the causes of the hidden troubles in emergency pre-triage and corresponding preventive measures. Methods: From February 2013 to December 2015, 389 emergency patients in the Second Hospital of Shaoxing, Zhejiang Province were enrolled and divided into control group (194 cases) and observation group (195 cases). Patients in the control group were admitted to hospital in accordance with routine pre-triage procedures. In the observation group, corresponding preventive measures were given to individual differences in patient's condition during the pre-examination and triage of patients admitted to hospital. The accuracy of triage and incidence of adverse events were compared between the two groups during pre-triage. Results: The accuracy of pre-triage diagnosis in observation group was significantly higher than that in control group (P <0.05), and the incidence of adverse events was also significantly lower than that in control group (P <0.05). Conclusion: After taking appropriate precautionary measures, the accuracy rate of pre-examination and triage of emergency patients at hospital admission has been greatly improved, further reducing the incidence of adverse events.