摘要
目的对中国人民解放军174医院重症监护室的危急值项目进行历史数据分析,评价检验危急值预警防控系统在重症监护室的实施效果。方法从检验危急值预警系统中筛选出2011年重症监护室的危急值项目数据1 667项,经数据预处理、变换后,计算出危急值项目的发生率和周转时间,对患者标本检验结果周转时间、回报后医疗干预开始时间及抢救成功率进行比较。结果危急值的发生率是0.85%,主要集中在上午10:00～13:00,危急值项目总体周转时间控制在1.5 h。危急值预警系统运行前危重患者标本检验结果回报时间为(69.3±18.4)min,医疗干预开始时间为(48.9±11.7)min,重患抢救成功率为(53.3±9.4)%;系统运行后危重患者标本检验结果回报时间、医疗干预开始时间、重症患者抢救成功率分别为(46.8±17.9)min、(22.1±7.9)min、80.9%,前后比较时间上明显缩短,危重患者的抢救成功率明显提高(P<0.01)。结论该院危急值高危预警系统在重症监护室运行较好,可以提高危重患者抢救的成功率,满足患者的安全要求。
[ Objective] To analyze the historical data of critical value in intensive care unit of 174th Hospital of PLA, evaluate the application effect of critical value early warning system in intensive care unit. [ Methods ] 1 667 critical values were selected from the critical value early warning system in intensive care unit in 2011. After pretreatment and transformation of data, the rate of criti-cal value items and cycle time were calculated. The turnaround time of examination results, starting time of medical intervention af-ter report, and the success rate of rescue were compared. [ Results] The rate of critical values was 0.85%, which mainly occurred during 10：00-13：00 AM. The average turnaround time of critical value items was 90 minutes. Before the implementation of critical value early warning system, return time of examination results of severe patients was （ 69.3 ± 18.4 ） minutes, starting time of medi- cal intervention was （48.9 ± 11.7 ） minutes, and the success rate of rescue in severe patients was （53.3 ± 9.4 ） %. After the im-plementation of the system, the return time of examination results, starting time of medical intervention and the success rate of res-cue was （46.8 ± 17.9） minutes, （22.1 ± 7.9） minutes and 80.9%, respectively, which the time shortened significantly, and the success rate of rescue increased significantly （ P 〈 0.01 ）. [ Conclusion] The critical value early warning system runs well in inten- sive care unit in the hospital, which can improve the success rate of rescue in severe patients, and meet the safe demands of pa-tients.
出处
《职业与健康》
CAS
2013年第9期1077-1079,共3页
Occupation and Health
