摘要
目的本研究旨在评估急诊动态面板信息化在胸痛中心、卒中中心和创伤中心建设中的应用效果。方法选择2021年1月1日至2022年12月31日在厦门长庚医院胸痛中心、卒中中心、创伤中心就诊的心肌梗死、脑梗死及疼痛患者500例作为研究对象,样本选择方法为随机取样。2021年1月1日至12月31日急诊采用传统非信息化系统进行运作,为对照组;2022年1月1日至2022年12月31日急诊采用动态面板信息化进行运作,为试验组。比较两个时间段中患者预检分诊的评估、急诊关键环节的时效、抢救成效及不良事件。结果试验组的漏诊率、误诊率和不良事件总发生率低于对照组,预检分诊准确率、抢救成功率高于对照组,差异有统计学意义(P<0.05);试验组的专科介入时间、检验获取时间、检查获取时间、滞留时间短于对照组,差异有统计学意义(P<0.05)。结论急诊动态面板信息化在胸痛中心、卒中中心和创伤中心的建设中具有显著的应用效果。
Objective To evaluate the application effect of emergency dynamic panel informatization in the construction of chest pain centers,stroke centers,and trauma centers.Methods A total of 500 patients with myocardial infarction,cerebral infarction,and pain who visited the Chest Pain Center,Stroke Center,and Trauma Center of Xiamen Chang Gung Hospital from January 1,2021 to December 31,2022 were selected as the study subjects.The sample selection method was random sampling.From January 1 to December 31,2021,the Emergency Department operated using traditional non information systems as the control group.From January 1 to December 31,2022,the Emergency Department operated using dynamic panel informatization as the experimental group.The evaluation of patient pre-examination triage,the timeliness of key emergency links,rescue effectiveness,and adverse events were compared between the two time periods.Results The missed diagnosis rate,misdiagnosis rate and total incidence of adverse events in the experimental group were lower than those in the control group,while the accuracy of pre-examination and triage and the success rate of rescue were higher than those in the control group,with statistical significance(P<0.05).The intervention time,test acquisition time,examination acquisition time and retention time of the experimental group were shorter than those of the control group,with statistical significance(P<0.05).Conclusion The emergency dynamic panel informatization has significant application effects in the construction of chest pain centers,stroke centers,and trauma centers.
作者
廖厚珍
杨智凯
LIAO Houzhen;YANG Zhikai(Emergency Department,Xiamen Chang Gung Hospital,Fujian,Xiamen 361026,China)
出处
《中国医药科学》
2024年第15期156-159,共4页
China Medicine And Pharmacy
关键词
急诊
信息化
三大中心建设
创伤评分
动态面板
Emergency treatment
Informatization
Construction of three major centers
Trauma score
Dynamic panel
