摘要
目的探讨对急诊患者实施医疗风险筛查和早期干预以降低其医疗风险发生率的效果。方法选取2024年4-7月某医院收治的4966例急诊患者为研究对象,将4-5月急诊患者设为对照组(n=2487),采用常规护理措施;6-7月急诊患者设为干预组(n=2479),在常规护理措施基础上实施医疗风险早期识别和干预,比较两组电话投诉率、医疗风险发生率、医护人员满意度评分、患者就医体验评分及30 d内患者再入院率等干预效果。结果干预组电话投诉率及医疗风险发生率均低于对照组(P<0.05),干预组医护人员满意度评分和患者就诊体验评分均高于对照组(P<0.05)。两组患者30 d内再入院率比较,差异均无统计学意义(P>0.05)。结论对急诊患者实施医疗风险筛查和早期干预可有效降低医疗风险发生率和电话投诉率,提高医护人员满意度并改善患者就医体验。
Objective To investigate the effect of medical risk screening and early intervention on reducing the incidence of medical risks among emergency department patients.Methods A total of 4,966 patients admitted to the emergency department of a tertiary grade-A hospital between April and July 2024 were enrolled.Patients admitted from April to May were assigned to the control group(n=2,487)and received routine care,while those admitted from June to July were assigned to the intervention group(n=2,479)and received early medical risk identification and intervention in addition to routine care.Outcomes including telephone complaint rate,incidence of medical risks,healthcare provider satisfaction scores,patient experience scores,and 30-day readmission rate were compared between the two groups.Results Compared to the control group,the intervention group demonstrated reduced telephone complaint rate and incidence of medical risks(P<0.05),alongside increased healthcare provider satisfaction score and patient experience score(P<0.05).However,there was no statistically significant difference in the 30-day readmission rate between the two groups(P>0.05).Conclusion The implementation of medical risk screening and early intervention for emergency patients effectively reduces the incidence of medical risks and telephone complaints,enhances healthcare provider satisfaction,and improves patients'medical experience.
作者
荚恒娅
胡冰
许苹
徐青松
段亚哲
Jia Hengya;Hu Bing;Xu Ping;Xu Qingsong;Duan Yazhe(Emergency Department,First Affiliated Hospital,Naval Medical University,Shanghai 200433,China;Department of Military Health Management,Faculty of Military Health Service,Naval Medical University,Shanghai 200433,China;Department of Politics,Naval Medical University,Shanghai 200433,China;Department of Nursing Management,First Affiliated Hospital,Naval Medical University,Shanghai 200433,China)
出处
《成都医学院学报》
2025年第5期853-855,861,共4页
Journal of Chengdu Medical College
基金
国家社会科学基金重点项目(No:22AGL034)。
关键词
关键指标
急诊
医疗风险
早期识别
干预
Key indicators
Emergency department
Medical risks
Early identification
Intervention
