Application of on-site management model based on 5M1E in high-risk patients with chest pain coming to hospital by themselves
10.3760/cma.j.cn115682-20210903-03995
- VernacularTitle:基于5M1E分析法的现场管理模式在自行来院高危胸痛患者中的应用
- Author:
Sai LIU
1
;
Jincheng GUO
;
Xiwei ZHANG
;
Xu CHEN
;
Jing YAN
;
Xiaocui WANG
;
Jiuyue JIAO
;
Feifei ZUO
;
Zhihui LIU
;
Lili LIU
Author Information
1. 首都医科大学附属北京潞河医院急诊科，北京 101149
- Keywords:
Chest pain;
On-site management;
Nursing management;
5M1E
- From:
Chinese Journal of Modern Nursing
2022;28(3):339-343
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of on-site management model based on 5M1E in high-risk patients with chest pain coming to hospital by themselves.Methods:Totally 263 high-risk patients with chest pain who went to Beijing Luhe Hospital, Capital Medical University by themselves from July 2017 to October 2018 were selected. Patients who received routine management from July 2017 to February 2018 ( n=128) were included into the routine management group, while patients who received on-site management based on 5M1E from March to October 2018 ( n=135) were included into the on-site management group. The arrival time at the emergency department gate (D) -first ECG time, D-blood collection time, blood collection time-chest pain biomarker result time, D-time of leaving emergency department for patients entering the catheterization room, D-balloon expansion time (D2B) for patients undergoing interventional therapy, and the treatment time of emergency patients with chest patients of the two groups of patients were recorded and compared. Results:The difference in D-first ECG time, D-blood collection time, blood collection time-chest pain biomarker result time, and D-time of leaving emergency department between the two groups of patients was statistically significant ( P<0.05) , whereas there was no statistically significant difference in D2B between the two groups ( P>0.05) . Conclusions:The on-site management model based on 5M1E can effectively shorten the time for consultation and treatment of high-risk patients with chest pain who come to the hospital by themselves, which is worth promoting in clinical practice.
