首页|PDCA循环对严重创伤患者在急诊绿色通道滞留时长的影响

PDCA循环对严重创伤患者在急诊绿色通道滞留时长的影响

Effect of PDCA Cycle on Retention Time in the Emergency Green Channel of Severely Traumatized Patients

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目的 探讨PDCA循环模式对严重创伤患者在急诊绿色通道滞留时长的应用效果.方法 选取在急诊绿色通道接受救治的严重创伤患者285例,将2020年就诊的136例设为对照组,2021年就诊的149例设为研究组.对照组按照医院规范化创伤患者抢救流程进行救治,研究组在对照组基础上实施PDCA循环模式,查找流程的不足,并对抢救流程进行持续改进.比较2组患者滞留时长、患者各项抢救措施完成时间及抢救成功率.结果 研究组各项抢救措施完成时长,在急诊绿色通道滞留时长均短于对照组(P<0.001);研究组抢救成功率高于对照组(85.23%比75.00%,P<0.001).结论 采用PDCA循环模式能显著缩短严重创伤患者在急诊绿色通道滞留的时长,并能提高抢救效率.
Objective To investigate the effectiveness of the PDCA cycle on the length of re-tention time in the emergency green channel for severely traumatized patients.Methods 285 pa-tients with severe trauma who received treatment in the emergency green channel were selected;136 cases from 2020 were established as the control group,and 149 cases from 2021 were set up as the experimental group.The patients in the control group were treated with standardized trauma patient resuscitation process,whereas the experimental group were further implemented with the PDCA cycle to find the deficiencies of the process and make continuous improvement of the resus-citation process.The length of retention,the completion time of rescue measures and the success rate of rescue were compared between the 2 groups.Results The completion time of rescue meas-ures and the length of retention in the emergency green channel were shorter in the experimental group than in the control group(P<0.001);the success rate of rescue was higher in the experi-mental group than that in the control group(85.23%vs 75.00%,P<0.001).Conclusion The PDCA cycle might effectively reduce the length of time that severely traumatized patients stay in the emergency green channel,and improve the efficiency of resuscitation.

severe traumaPDCA cycleemergency green channelretention timesuccess rate of rescue

吴姝玲

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南昌大学第一附属医院急诊科,南昌 330006

严重创伤 PDCA循环 急诊绿色通道 滞留时长 抢救成功率

江西省教育厅科学技术研究项目

200155

2024

实用临床医学
南昌大学

实用临床医学

影响因子:0.818
ISSN:1009-8194
年,卷(期):2024.25(2)
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