危重患者早期识别管理模式在心脏外科安全管理中的应用

目的：探索危重患者早期识别管理模式在心脏外科安全管理中的应用及效果评价。方法：将危重患者早
期识别管理模式应用于心脏外科团队，包括心脏外科医生、心脏外科病房护士、心脏外科监护室护士、心脏外科手
术室护士，比较该模式应用前及应用后半年护士满意度、医生满意度、交接班所用时间、危重患者交接班得分、术
后患者非计划监护室再入住率的差异。结果：危重患者早期识别管理模式应用后，提升了护士和医生对病情交接的
满意度，交接班需要的时间减少了0.56 min/人次(t=2.22，P<0.05)，危重患者床旁交接班得分提高了19.59分(t=30.57，
P<0.001)，术后患者非计划监护室再入住率降低了4.8%(χ2=4.14，P<0.05)。结论：危重患者早期识别管理模式在心脏
外科中的应用，提升了患者的安全，增强了护士的自信，也提高了工作效率。

Early recognition of deteriorating patient program indepartment of cardiac surgery

Objective: To explore the application and the effect of early recognition of deteriorating patient
program in department of cardiac surgery.
Methods: We used the early recognition of deteriorating patient program in the cardiac surgery
groups, including cardiac surgeons, nurses in ward, ICU and operation rooms of the cardiac surgery
department, and compared the satisfaction of nurses and doctors, handover time, handover score of
critical patients, and rate of unplanned ICU admission before and after the intervention.
Results: After using the early recognition of deteriorating patient program, the satisfaction of
doctors and nurses was increased, the handover time was lowered 0.56 min/time (t=2.22, P<0.05),
the handover score of critical patients enhanced by 19.59 points (t=30.57, P<0.001), the rate of
unplanned ICU readmission after the operation reduced by 4.8% (χ2=4.14, P<0.05).Conclusion: Early recognition of deteriorating patient program can improve the safety of cardiac
patients, enhance the self-confidence of nurses and work efficiency.