关键词: 脑血管病; 急诊; 预检分诊; 流程优化; 候诊响应时长

Abstract:

Objective To explore the impact of optimizing emergency pre-examination triage process on waiting accidents, medical disputes, waiting time, and waiting response time coincidence rate in cerebrovascular disease patients. Methods This retrospective study included patients with cerebrovascular disease from Department of Emergency of Beijing Tiantan Hospital, Capital Medical University from January to October 2019. According to the time point of starting the process optimization in June, 2019, all the subjects were divided into the pre-optimization process group and post-optimization process group. The waiting accidents and medical disputes, waiting time, and coincidence rate of waiting response time of the two groups were compared, and the waiting time of patients entering into the cerebrovascular disease fast track in the two groups were also compared. Results A total of 10 716 patients were included in this study, including 5695 cases in preoptimization process group and 5021 cases in post-optimization process group. Compared with the pre-optimization process group, the post-optimization process group had lower waiting accidents (0.4% vs 2.0%, P =0.038) and medical disputes (0.3% vs 1.3%, P =0.033), shorter waiting time (11.6±1.4 min vs 25.1±3.5 min, P =0.025), higher coincidence rate of waiting response time (89.1% vs 75.2%, P =0.024), and shorter waiting time of entering into fast track (2.2±0.7 min vs 6.6±1.2 min, P =0.032).

Conclusions Optimizing emergency pre-examination triage process can effectively improve the coincidence rate of waiting response time in patients with cerebrovascular disease, reduce the incidence of waiting accidents and medical disputes, and shorten the waiting time of patients.

Key words: Cerebrovascular disease; Emergency; Pre-Examination triage; Process Optimization; Waiting response time