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目的探讨伤患评估系统(PAS)结合规范化沟通术语在急诊院前、院内急救转运中的应用。方法将2016年4～6月102例急诊院前、院内急救转运的患者作为对照组,实施常规的转运急救流程;2016年7～8月106例急诊院前、院内急救转运的患者作为观察组,采用品管圈介入,应用伤患评估系统结合规范化沟通术语在急诊院前、院内急救转运过程中。比较2组患者的急诊院前、院内急救转运过程中安全隐患率,“120”急救反应时间、患者及家属的满意度。结果观察组患者安全隐患率低于对照组,“120”急救反应时间短于对照组,差异有统计学意义(P<0.05)。2组患者满意度无统计学意义(P>0.05)。结论在急诊院前、院内急救转运过程中,急救团队应用PAS结合规范化沟通术语相结合的方式,提升急救团队人员应急反应能力、沟通能力,能降低急诊院前、院内急救转运过程中安全隐患率,缩短医院“120”反应的时间,提高患者对转运过程中的医疗护理服务质量的满意度,有效减少医患纠纷,获得良好的社会效益。
Objective To explore the application of injury assessment system (PAS) combined with standardized communication terminology in the emergency hospital before and after hospital emergency. Methods From April to June 2016, 102 patients who were hospitalized for first aid and emergency transfusion in the emergency department from April to June of 2016 were selected as the control group, and the routine transportation and first aid procedure was performed. From October to August 2016, 106 emergency patients and emergency transhipment patients in hospital as observation group , The use of quality control cycle intervention, the application of injury assessment system with standardized communication terms in the emergency room, the hospital emergency transit process. The safety hazard rate, emergency response time, satisfaction rate of patients and their relatives in emergency hospital before hospital and emergency hospital during hospital were compared between two groups. Results The hidden danger rate of patients in the observation group was lower than that of the control group. The emergency response time of “120” was shorter than that of the control group, with significant difference (P <0.05). Satisfaction between the two groups was not statistically significant (P> 0.05). Conclusions In the process of emergency hospital transportation and first aid transportation in hospital, the first aid team applied the combination of PAS and standardized communication terms to improve the emergency response ability and communication ability of first aid team staff, and reduced the potential safety hazard rate before and during emergency hospital transportation , Shorten the hospital “120 ” response time, improve patient satisfaction with the quality of medical care services during transit, reduce doctor-patient disputes and obtain good social benefits.