Effects of de-escalation thinking in the triage of critically ill children in the Department of Pediatrics
10.3760/cma.j.cn115682-20200911-05316
- VernacularTitle:降阶梯思维在儿科危急重症患儿分诊中的应用效果
- Author:
Jingchao GUAN
1
;
Yan LIU
;
Ying WANG
;
Yuan YANG
Author Information
1. 河南省驻马店市中心医院急诊儿科 463000
- Keywords:
Pediatrics;
Critical illness;
De-escalation thinking;
Triage effect;
Satisfaction
- From:
Chinese Journal of Modern Nursing
2021;27(16):2195-2198
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of de-escalation thinking in the triage of critically ill children in the Department of Pediatrics.Methods:From January 2018 to January 2020, we selected a total of 486 critically ill pediatric patients admitted to Zhumadian Central Hospital in Henan Province. According to the random number table, the children were simply randomly divided into control group and observation group, each with 243 cases. Control group carried out traditional routine triage, and observation group conducted de-escalation thinking for pre-examination and triage. We observed the differences in the triage accuracy, satisfaction of the children and their parents and the quality of the triage between the two groups of children.Results:The scores of the disease classification and triage accuracy, total satisfaction, service attitude, treatment timeliness, health guidance as well as safety of children in observation group were higher than those in control group, and the differences were all statistically significant ( P<0.05) . Conclusions:De-escalation thinking has a high accuracy rate in the triage of critically ill children in the Department of Pediatrics, which can improve the treatment effect, reduce the adverse results of the rescue, and improve the satisfaction of the children and their family members.
