Practice and effect evaluation of establishment of first aid green channel for acute ischemic stroke based on medical team resource management model
10.3760/cma.j.issn.1672-7088.2018.26.014
- VernacularTitle:基于医疗团队资源管理模式建立急性缺血性脑卒中急救绿色通道的实践与效果评价
- Author:
Yangchun ZHANG
1
;
Mei LI
;
Xueli JI
;
Li ZHANG
Author Information
1. 210029,南京医科大学第一附属医院急诊室
- Keywords:
Medical team resource management;
Acute ischemic stroke;
First aid green channel
- From:
Chinese Journal of Practical Nursing
2018;34(26):2065-2070
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effectiveness of medical team resource management model in the first aid green channel of acute ischemic stroke (AIS). Methods A total of 215 patients with acute ischemic stroke who underwent intravenous thrombolysis were enrolled from November 2015 to October 2017 as an observation group.The observation group adopted AIS first aid green channel based on medical team resource management mode.A total of 61 patients with acute ischemic stroke who underwent intravenous thrombolysis were enrolled from November 2013 to October 2015 as a control group.The control group adopted three districts and four treatment procedures.The time course of intravenous thrombolysis was compared between the two groups and to compare the satisfaction of the two groups with different AIS procedures. Results Application of medical team resource management model to establish a dedicated first aid green channel, the key links were significantly shortened,Door-to-Needle Time (DNT) decreased from (114.84 ± 8.05) minutes prior to establishment to (57.63 ± 6.30) minutes, the difference was statistically significant (t=51.263, P<0.05), the satisfaction degree of the medical staff was improved,the overall satisfaction increased from (2.86 ± 0.20) before establishment to (4.27 ± 0.20) points, the difference was statistically significant (t=-34.368,P<0.05).Conclusions The medical team resource management model applied to the treatment of AIS patients, the establishment of multidisciplinary integration of first aid green channel, to strengthen the team to effectively improve the timeliness of the key aspects of intravenous thrombolysis, shorten DNT, improve the quality of treatment of patients.
