摘要
目的分析改良早期预警评分(MEWS)联合SBAR沟通模式在急诊患者住院转运交接中的应用效果。方法将2019年1月—2019年6月急诊抢救室住院转运患者的640例随机分成观察组和对照组,每组320例。观察组患者在转运前应用MEWS评分量表进行风险评估,根据得分施行分级转运,到达病房后应用SBAR沟通模式与接诊医护人员进行病情交接;对照组采用常规转运方式及交接模式。比较两组患者在住院转运过程中不良事件发生率、患者家属满意度、病房接诊医护人员满意度、医护人员交接用时。结果两组患者转运不良事件发生率比较差异有统计学意义(P <0.05);观察组患者家属满意度、病房接诊医护人员满意度高于对照组(P <0.05),观察组医护人员交接用时低于对照组(P <0.05)。结论改良早期预警评分联合SBAR沟通模式在急诊抢救室患者转运交接中的应用,能显著减少转运不良事件的发生,提高患者家属及病房接诊医护人员的满意度,缩短医护人员交接用时。
Objective To evaluate the effect of modified early warning score(MEWS) combined with SBAR communication mode in transferring patients from emergency room to wards. Methods From January to June 2019, the patients who were transferred from emergency room to wards(n=640) were randomly distributed to observation group and control group. The patients from the observation group(n=320) were assessed by using the MEWS score, then they were classified and transferred to wards based on the transfer risk scores. SBAR communication mode was performed to hand the patients over to the medical staff after arriving at the wards. The conventional transfer mode was applied in the control group( n= 320). The incidence of adverse events in the transfer, satisfaction of the patient’s family members and medical stuff in the wards, and handover time of the two groups were compared. Results The incidence of adverse events of the two groups was significantly different(P<0.05);The satisfaction of the patient’s family members and medical stuff in the wardsof the observation group were significantly higher than that in the control group(P<0.05);The hand-over time of the observation group was less than the control group(P<0.05). Conclusion The application of modified early warning score(MEWS) combined with SBAR communication mode in transferring patients from emergency room to wards can significantly reduce the incidence of adverse events, promote satisfaction of the patient’s family members and medical stuff in the wards, and shorten the hand-over time.
作者
罗明民
姜艳
白雪
LUO Mingmin;JIANG Yan;BAI Xue(Emergency Department,Shengjing Hospital of China Medical University,Shenyang Liaoning 110004,China)
出处
《中国继续医学教育》
2020年第21期81-83,共3页
China Continuing Medical Education
关键词
改良早期预警评分
SBAR沟通模式
急诊患者
住院转运
急诊抢救室
风险评估
病情交接
improved early warning score
SBAR communication style
emergency patients
hospitalization transfer
emergency room
risk assessment
disease handover
