急诊预检分诊现状分析及持续质量改进效果

目的：分析急诊预检分诊现状及采用持续质量改进（ CQI ）后对分诊准确率的效果。方法回顾性分析2012年1～6月我院急诊科未实施CQI前的预检分诊漏诊、误诊及准确率状况，并与2013年1～6月实施CQI后的状况进行比较，评价持续质量改进的实施效果。结果2013实施CQI后，急诊预检分诊率（100％）、准确率（95％）、分诊过程质量考核评分（92.37±3.65）均显著高于2012年未实施CQI前（ P＜0.05）；急诊预检分诊误诊率（2％）、漏诊率（7％）、护理纠纷率（1％）、预检分诊平均时间（35.27±6.31） s明显低于2012年（ P＜0.05）。结论持续质量改进能显著提高急诊预检分诊准确率，提升分诊工作效率，降低误诊、漏诊率，保障医疗安全。

analysis on status quo of preview emergency triage and the effects of continuous quality improvement

Objective To explore status quo of preview emergency triage and the effects of continuous quality improvemen （ CQI） on diagnosis accuracy rate .Methods Retrospective analysis of our hospital in 2012 January to June was made in the following respects：missed diagnosis , misdiagnosis and accurate rate before the implementation of CQI triage , it was compared with the situation after implemen-ting CQI 2013 January to June , the effects of the implementation of continuous quality improvement were evaluated.Results The implement of CQI after 2013, Pre-examination and triage rate （100%） , accuracy rate （95%）, patients＆#39;satisfaction （99%）, triage process quality assessment score （92.37 ＆#177;3.65 ） were significantly higher than those in 2012; Preview emergency triage misdiagnosis rate （2%）, the missed diagnosis （7%）, nursing disputes rate （1%）, preview triage average time （35.27 ＆#177;6.31） were significantly lower than those in the 2012.Conclusions Continuous quality improvement can significantly improve the accuracy of emergency triage , triage work efficiency , re-duce the rate of missed diagnosis , misdiagnosis , ensure medical safety.