一起尿源性脓毒血症死亡案例的解析与改进*

对一起尿源性脓毒血症患者死亡案例进行解析，从明确诊断标准、制定规范举措、畅通绿色通道、促进患方参与等方面进行改进。改进后，尿源性脓毒血症患者诊断率提高，就诊至处理时间（DTN）从88.9min缩短至55.6min（P＜0.001），患者住院时间由7.9天缩短至4.9天，人均住院总费用减少8 105元，差异均有统计学意义（P＜0.05）。运用精益管理方法，优化专科急危重症诊治流程，能够缩短治疗时间，促进患者康复，节约住院费用，改善患者愈后

A Death Case of Urinary Sepsis:Analysis and Improvement

A death case of urinary sepsis was analyzed,and improvement was made from the aspects of clarifying the diagnostic criteria,formulating normative measures,unblocking the green channel and promoting the participation of the patient.After the improvement,the diagnosis rate of patients with urinary sepsis was increased,the door-to-needle time(DTN)was shortened from 88.9 min to 55.6 min(P<0.001),the length of hospitalization of patients was shortened from 7.9 days to 4.9 days,and the total hospitalization cost per capita was reduced by 8105 Yuan.The differences were statistically significant(P<0.05).The application of fine management method to optimize the treatment process of acute and severe diseases can shorten the treatment time,promote the recovery of patients,save the cost of hospitalization,and improve the recovery of patients.