The effect of modified early warning scores on nosocomial emergency transshipment in primary hospital
10.3760/cma.j.issn.1008-6706.2015.22.027
- VernacularTitle:改良早期预警评分在基层医院急诊院内转运中的应用
- Author:
Yanjun ZHANG
;
Xiaojiang WU
;
Caihua ZHAO
;
Xiaoyun LOU
;
Lingling WANG
- Publication Type:Journal Article
- Keywords:
Modified early warning scores;
Primary hospital;
Nosocomial emergency transshipment
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(22):3445-3447
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of modified early warning scores (MEWS)on nosocomial emergency transshipment in primary hospital.Methods From July 2013 to February 2014,192 patients were selected as control group,and from March 2014 to October 2014,192 patients were selected as observation group.The control group conducted assessment and transshipment by experience.The observation group adopted MEWS to evaluate dis-ease and applied targeted treatment.Then,we compared the incidence of unsafe events,accuracy of handover,family member and the related departments 'satisfaction.Results After the implementation of MEWS,the incidence of unsafe events was decreased from 13.0% to 5.2%(χ2 =5.121 ).The accuracy of handover was increased from 85.4% to 94.3% (χ2 =8.248).The family member and related departments 'satisfaction were improved from 89.1%,87.5% to 97.4% and 96.4%,respectively (χ2 =15.561,χ2 =10.141).The differences were statistically significant (P <0.05).Conclusion MEWS can evaluate and classify the safety of patients objectively and effective-ly during nosocomial emergency transshipment.MWES can effectively reduce the incidence of unsafe events,increase the accuracy of handover,improve family member and related departments'satisfaction.