Practice and effects of inhospital emergency process reengineering for patients with acute poisoning
10.3760/cma.j.issn.1674-2907.2018.23.019
- VernacularTitle:急性中毒患者院内急救流程再造的实践与效果评价
- Author:
Qiuying LOU
1
;
Wei ZHANG
;
Shuxia LI
;
Minjuan WU
;
Dengpan LAI
;
Xiaoqing PAN
;
Yongli PAN
Author Information
1. 杭州师范大学附属医院急诊科
- Keywords:
Poisoning;
Nursing care;
Process reengineering
- From:
Chinese Journal of Modern Nursing
2018;24(23):2811-2815
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of inhospital emergency process ~engineering for patients with acute poisoning.Methods Emergency Department of the Affiliated Hospital of Hangzhou Normal University implemented inhospital poisoning emergency process reengineering in March 2016.This implementation optimized original emergency process and applied it in patients with acute poisoning beginning with 6 aspects including refining precheck patients,assessment of poisoning emergency response group,fast gastrolavage,transportation,gastrolavage combined with blood purification group rapid preparation,emergency intensive care unit preparation.We compared the rescue efficiency of patients with acute poisoning before (from March 2015 to February 2016) and after (from March 2016 to February 2017) process reengineering.Results After process reengineering,the time from being admitted to hospital to beginning gastrolavage and the duration of gastrolavage was (8.91 ± 5.29)min and (31.86 ± 8.42)min respectively shorter than those before process reengineering with significant differences (t=3.397,4.028;P ＜ 0.01).After process reengineering,the time from being admitted to hospital to opening blood purification tubes (176.59 ± 88.73)min and from being admitted to hospital to starting blood perfusion (229.35 ± 108.79)min were significantly sooner than those before process reengineering (t=3.600,3.550;P ＜ 0.01).Conclusions The inhospital emergency process reengineering is scientific and convenient.It is propitious to improve rescue efficiency of patients with acute poisoning.
