Study on safety management and risk response measures of prehospital emergency care in patients with cerebral hemorrhage
10.3760/cma.j.issn.1008-6706.2017.22.030
- VernacularTitle:脑出血患者院前急救中转运的安全管理研究
- Author:
Suhong ZHAO
1
Author Information
1. 阳泉市紧急医疗救援中心急救科
- Keywords:
Cerebral hemorrhage;
Emergency medical services;
Safety management
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(22):3478-3481
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the safety management and risk response of preoperative emergency in patients with cerebral hemorrhage. Methods 92 patients with intracerebral hemorrhage were divided into two groups. The conventional group was treated with routine care in prehospital first aid. The prehospital intervention group used transport safety management and risk comprehensive response measures. The incidence of first aid consciousness,rapid response score, safe transshipment score, medical care score and the success rate of rescue and the incidence of medical disputes were compared between the two groups. The satisfaction of the family members of the patients with first aid treatment was analyzed. Results The score of first aid consciousness, rapid response score, safe transfer score,medical care score of the prehospital intervention group were (96. 24 ± 3. 91) points,(93. 98 ± 2. 72) points, (95. 26 ± 3. 57) points and (95. 72 ± 3. 02) points,respectively,which were significantly better than those of the conventional group [(83.12 ±3.15)points,(82.02 ±1.53)pointss,(83.52 ±2.92)points,(83.14 ±2.15)points, t=8. 629,8. 826,8. 042,8. 514,all P <0. 05]. The success rate of hospitalization of the prehospital intervention group was 95. 65%,which was higher than 78. 26% of the conventional group(χ2 =6. 133,P<0. 05). The incidence rate of medical disputes in the prehospital intervention group was significantly lower than that in the conventional group (χ2 =5. 145,P<0. 05). Among them,there were 9 cases of medical disputes in the conventional group,the incidence rate was 19. 57%. In the prehospital intervention group,there was 1 case of medical disputes,the incidence rate was 2. 17%. The satisfaction rate of prehospital emergency treatment in the prehospital intervention group was 95. 65%, which was significantly higher than 78. 26% in the conventional group (χ2 =6. 133,P<0. 05). Conclusion The safety management and risk response measures of preoperative emergency in patients with intracerebral hemorrhage are effective,which can effectively improve the success rate of cerebral hemorrhage rescue,improve nursing staff first aid consciousness and rapid response ability,improve medical care and transport safety,it is worthy of promotion.
