Practice and effect analysis of emergency cluster management
10.3760/cma.j.cn111325-20200919-01947
- VernacularTitle:急诊集束化管理实践及效果分析
- Author:
Aihui LIU
1
;
Jian TIAN
;
Fan LI
;
Huaping LIU
;
Wenhua ZHOU
;
Huadong ZHU
;
Jun XU
;
Liyuan TIAN
Author Information
1. 中国医学科学院北京协和医院急诊科 100730
- Keywords:
Emergency service, hospital;
Cluster management;
Management quality;
Patient safety;
Satisfaction
- From:
Chinese Journal of Hospital Administration
2021;37(8):686-689
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the application effect of cluster management measures in improving the quality of emergency medical treatment.Methods:By analyzing the problems existing in the work of emergency department, the cluster management scheme was formulated and the intervention measures were implemented from the aspects of intelligent information system, patient management system and medical service process. The accuracy and efficiency of emergency triage, the satisfaction of patients and medical staff, the incidence of medical complaints and disputes and the rate of sudden death were compared before and after cluster management.Results:Before and after the implementation of cluster management, the accuracy of triage classification was 95.0% and 98.7% respectively, and the triage time was (68.3±12.8) s and (50.5±7.2) s respectively( P<0.001). The satisfaction of patients, doctors and nurses increased, the number of complaints decreased from 15 to 5 in half a year, and the number of sudden death decreased from 39 to 23 with a significant difference( P<0.05). Conclusions:The application of cluster management measures in emergency management can improve the medical quality, the satisfaction of medical staff and patients, and ensure the safety of patients.