质量控制路径在高原高寒地区突发事件院前急救转运中的应用效果

目的 探讨质量控制路径在高寒地区突发事件院前转运中的临床应用,评价其临床效果.方法 对2008年7月至2012年9月在高原高寒地区突发事件的278例患者的临床资料进行回顾性分析,分为观察组和对照组,各139例.观察组患者进行质量控制,对照组患者进行常规护理,对2组患者的出诊速度、急救成功率、满意度及差错率进行比较.结果 观察组患者到达现场的时间为(15±4) min,对照组患者到达现场的时间为(25 ±5) min,观察组患者出诊速度快于对照组患者(P＜0.05).观察组患者的急救成功率84.9％ (118/139)]高于对照组62.5％ (87/139)] (P ＜0.05).观察组患者的满意度92.1％(128/139)]高于对照组72.6％ (101/139)] (P＜0.05),观察组患者的差错率8.6％ (12/139)]低于对照组25.2％ (35/139)],组间差异有统计学意义(P＜0.05).结论 质量控制路径在高原高寒地区突发事件院前急救转运中应用效果较好,可以提高患者的急救效率.

Quality control paths used in high altitude alpine region emergency pre-hospital emergency transport

Objective To investigate the clinical application of quality control path in the alpine region e- mergency pre-hospital transport, and to evaluate the clinical effect. Methods Totally 278 patients for hair emer- gencies in high altitude alpine region from July 2008 to September 2012, were divided into observation group and the control group. The observation group patients were given with quality control and the control group patients were giv- en for routine care. The speed, first aid, the success rate of the visits, satisfaction, and the error rate of the two groups were compared. Results The patients on-scene time in observation group was （15 ＋ 4）rain and the control group was （25 ~ 5） min. The observation group visits was faster （P 〈 0.05） ; Emergency success rate of the obser- vation group was 84.9% （118/139）, the first aid success rate of the control group was 62.5 % （87/139）, the first aid success rate of the observation group was higher than that in control group （P 〈 0.05 ）. Satisfaction of the obser- vation group92.1% （128/139） ] was higher than that of control group72.6% （101/139） ] （P 〈0.05） ; The er- ror rate of the observation group 8.6% （12/139） ] were lower than those in the control group 25.2% （35/139） ] between the two groups, the difference was statistically significant （P 〈 O. 05 ）. Conclusion Quality control paths in high altitude alpine region emergency pre-hospital emergency transport in the application effect can improve the ef- ficacy in patients with first-aid efficiency.