Application of continuous quality improvement based on trauma team activation model in emergency triage
10.3760/cma.j.cn115682-20220508-02227
- VernacularTitle:基于创伤团队激活模式的持续质量改进在急诊预检分诊中的应用
- Author:
Yangchun ZHANG
1
;
Xueli JI
;
Li ZHANG
;
Yongxiang WU
;
Lili JIANG
;
Kouying LIU
Author Information
1. 南京医科大学第一附属医院（江苏省人民医院）急诊科，南京 210000
- Keywords:
Emergency service, hospital;
Pretest triage;
Trauma team;
Undertriage;
Overtriage;
Quality improvement
- From:
Chinese Journal of Modern Nursing
2023;29(12):1614-1619
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of continuous quality improvement based on trauma team activation model in emergency triage.Methods:This study is a historical controlled study. A total of 12 215 trauma patients receiving initial treatment in the Emergency Department of the First Affiliated Hospital with Nanjing Medical University from January 2020 to June 2021 were selected as the research objects by the convenience sampling method, and 3 896 trauma patients from January to June 2020 were enrolled as the baseline group, and 4 054 patients from July to December 2020 were enrolled as the phaseⅠ improvement group, and 4 265 patients from January to June 2021 were enrolled as the phaseⅡ improvement group. The baseline group adopted the one-tiered trauma team activation model, which was evaluated and decided by the first-visiting doctor. The phaseⅠ improvement group received the one-tiered trauma team activation model, which was evaluated and decided by pretest triage nurses. The stageⅡ improvement group conducted the two-tiered trauma team activation model, which was evaluated and decided by pretest triage nurses. The trauma team activation time, overtriage rate and undertriage rate were compared between the three groups.Results:The trauma team activation time of the phaseⅠ improvement group and phaseⅡ improvement group was shorter than that of the baseline group, and the difference was statistically significant ( P<0.05). The overtriage rate of the phaseⅡ improvement group was lower than that of the baseline group and the phaseⅠ improvement group, and the differences were statistically significant ( P<0.05). The underage rate of the three groups were <5%, and the differences were not statistically significant ( P>0.05) . Conclusions:The two-tiered activation of trauma team mode led by nurses can shorten the trauma team activation time, reduce the overtriage rate and undertriage rate, improve the quality of trauma team activation.
