危急值报告在重症医学科的应用现状分析.docVIP

危急值报告在重症医学科的应用现状分析 四川省南充市中心医院重症医学科middot;川北医学院第二临床医学院四川 南充 637000 摘要：目的探讨危急值报告在重症医学科的应用现状和优化的设想。方法选 取我科2015年01月-12月的危急值报告接收的项目、有效转达和处理经治时间 及效果等原始资料登记、结合实际临床患者的危急状况做回顾性分析。结果接 收的危急值有缺项、有效转达和处理的时间和效果记录不完善。结论规范落实 重症医学科危急值报告的内容、缩短有效转达和处置时限。是提高抢救成功率减 低死亡率减少并发症和后遗症，促进疾病转归良性发展，提高医疗护理质量的关 键。 关键词：危急值；报告；处置；时限；疾病转归 [Abstract]Objective To explore the application and effect evaluation of observe (critical illness observation technology) in clinical application.Methods Randomly 84 cases were divided into experimental group and control group，each group and the control group of 2 patients each group of 90 cases.Was given in the control group were treated by traditional nursing observation technique, the experimental group received underwent observe technology, were compared between the two groups of nurses in the theory test and two rescue time, success rate, mortality, complications, nursing accidents，occupancy time in ICU, cost index.Results Scores of nurses in the observation group were significantly better than the control group， the indicators of the patients showed that the experimental group was significantly better than the control group.Conclusion Strengthen the patients vital signs，clinical manifestation, clinical and biochemical examination, drainage tube and the application of the drug and other critical observation of training.Disease is the outcome of good fundamentals. [Key words]Clinical nurse clinical nursing observe Observation technique Disease outcome “危急值”也称为紧急值或警告值。顾名思义就是表明患者正处于危险 边缘，临床医生如不及时做出处理扭转当前的危急状况，就会在短吋间内危及患 者生命【1】。临床上涵盖各种血液生化检验和各项辅助检查。我科自中国医院协 会提出“患者安全0标”后落实实施了其中之一 “危急值的报告制度”。现选取 2015年01月-12月间期的危急值报告接收的项0、冇效转达和处理经治吋间及 效果等原始资料登记、结合临床实际情况做冋顾性分析。现报告如下： 1.临床资料 我院为“三甲”医院，近5年间我院因新住院人楼落成和投入临床后总 床位由1100张扩增到1800张，实际开放床位1750张。我科为综合性重症医学 科，实际床位32张，全封闭层流病区，其中负压病房独立单间5间，2人间2 个。承担救治院前及全院各科的急危重症患者任务。床：护=1: 2.5。其中N4: N3： N2： Nl： N0=10： 20： 24： 36： 150 本科:专科=85: 15.收治的涉及内、外、 妇产、儿、肿瘤、感染科各病例，从高到低依次为：呼吸、心血管、普外、神经 内外科、骨科、妇产、消化、儿科、肿瘤和感染等患者。床旁都有呼吸机、心电 监护仪、辅助球囊、输液泵、微量泵、中心供氧