标准化分诊结合医师反馈法提高分诊准确率的探讨.docVIP

精品论文 参考文献 标准化分诊结合医师反馈法提高分诊准确率的探讨 韦利菊 姚寄柳 卢兰芳 　　（广西河池市人民医院 广西河池 547000） 　　【摘要】 目的：探讨标准化分诊结合医师反馈法提高分诊准确率。方法：选取在内科门诊待分诊的27126例患者，按照单双月随机分为观察组和对照组：对照组为双月分诊的13442例患者，采用常规护理分诊；观察组为单月分诊的13684例患者，护士采用标准化分诊结合医师反馈法调整分诊；最后，比较护士对两组患者的分诊准确率。结果：观察组分诊准确率为98.6%，对照组准确率为97.4% (P＜0.001)。结论：分诊护士实行标准化分诊的同时，结合医师反馈法进行分诊，能有效提高分诊的正确率，提高门诊护理服务质量。 　　【关键词】门诊；正确分诊；医师反馈；护士 　　【中图分类号】R197.32 【文献标识码】A 【文章编号】1007-8231（2015）11-0215-02 　　Discussion on Improving the Triage Accuracy Rate of Method by the Combination of Standardized Triage and Physician Feedback 　　【Abstract】Objective To investigate the method of combination of standardized triage and physician feedback can improve the triage accuracy rate or not. Methods 27126 patients selected who were waiting to be triaged on the department of internal medicine, were randomly divided into observation group and control group according to be triaged on monthly and bimonthly. The control group included 13442 patients who were triaged on bimonthly received routine triage care. In the observation group, 13684 patients who were triaged on monthly were used the method of the combination of standardized triage and physician feedback. The triage accuracy rate of the two groups was compared. Results The triage accuracy rate of the observation group was 98.6%, and 97.4% in the control group (Plt;0.01). Conclusion The triage nurse used standardized triage while combining physician feedback can effectively improve the triage accuracy rate and the quality of outpatient service. 　　【Key words】Clinic;Correct triage;Physician feedback; Nurse 　　门诊作为医院的一个重要组成部门和窗口单位，其服务质量如何，不仅在某种程度上体现和反映了医院的综合服务水平，而且也将给患者以最直接和深刻的印象。在医院门诊部，分诊是门诊工作的重要环节，它直接影响着医院的服务形象和门诊的服务质量[1]。分诊台是患者诊疗开始的第一个重要服务窗口，因其是患者及家属集中点、护患接触交流沟通集中地、服务对象构成复杂、护理人员素质差异大等特点[2]。如果门诊护士分诊不正确，相应诊室医生也给患者诊治，会给患者绕来绕去，最后才到应该去的科室，不仅浪费患者宝贵的时间和金钱，还耽误病情，故门诊护士如何正确分诊显得非常重要。为此，自2015年4～7月，我院内科门诊护士实施采用标准化分诊的同时，结合医师反馈法执行分诊，取得较好的效果，现报道如下。 　　1.资料与方法 　　1.1 一般资料 　　选取2015年1～5月在我院内科门诊待诊的27126例患者，按照单双月随机分