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电子病历联动时间节点提醒系统对严重创伤患者急诊救治时间节点及其预后的影响研究OA

Study on the influence of electronic medical record linkage time node reminder system on emergency treatment time node and prognosis of severe trauma patients

中文摘要英文摘要

目的 明确创伤中心电子病历联动时间节点提醒系统(以下简称提醒系统)的临床应用效果.方法 选取 2022 年 6月至 2023 年 3 月湖州市第一人民医院创伤中心接诊的严重创伤患者 90 例,将 2022 年 6 月至 10 月收治的患者 45 例纳入对照组,进行常规院前院内救治流程,2022 年 11 月至 2023 年 3 月收治的严重创伤患者 45 例纳入实验组,实施提醒系统引导救治流程.比较两组患者的医疗质控指标、急诊黑洞步骤耗时及患者结局指标.结果 实验组患者的床旁FAST超声检查时间、CT 扫描完成时间、急诊室滞留时间、护理等待时间、制定诊疗方案及手术谈话耗时、路途转运耗时均显著短于对照组(P<0.05);两组患者的首剂氨甲环酸给药时间、损伤控制性处置完成时间、重症监护病房住院时间、有创机械通气时间、救治成功率比较差异均无统计学意义(P>0.05).结论 提醒系统的应用有助于强化医护配合,缩短不必要的救治等待时间,加快严重创伤救治过程中的时间节点转换.

Objective To clarify the clinical application effect of electronic medical record linkage time node reminder system(hereinafter referred to as reminder system)in trauma center.Methods A total of 90 patients with severe trauma admitted to the Trauma Center of Huzhou First People's Hospital from June 2022 to March 2023 were selected,and 45 patients admitted from June to October 2022 were included in control group for routine pre-hospital in-hospital treatment.Forty-five patients with severe trauma admitted from November 2022 to March 2023 were included in experimental group,and reminder system was implemented to guide the treatment process.The indexes of medical quality control,emergency black hole procedure time and patient outcome were compared between two groups.Results Bedside FAST ultrasound examination time,CT scan completion time,emergency room stay time,nursing waiting time,make diagnosis and treatment plan and surgical talk time,and travel transport time of patients in experimental group were significantly shorter than those in control group(P<0.05).There were no significant differences in the first tranexamic acid administration time,completion time of damage control treatment,length of stay in intensive care unit,duration of invasive mechanical ventilation and success rate of treatment between two groups(P>0.05).Conclusion The application of reminder system is helpful to strengthen the cooperation of medical care,shorten the unnecessary waiting time for treatment,and accelerate the time node transformation in the process of severe trauma treatment.

陈丽芬;潘慧斌;凌莉;嵇朝晖;包芸

湖州市第一人民医院急诊医学科,浙江湖州 313000湖州市第一人民医院急诊医学科,浙江湖州 313000||湖州市创伤救治临床研究中心,浙江湖州 313000

临床医学

创伤信息化滞留质量控制

TraumaInformatizationRetentionQuality control

《中国现代医生》 2024 (022)

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浙江省医药卫生科技计划项目(2021PY024);湖州市科技计划项目(2022GZB06)

10.3969/j.issn.1673-9701.2024.22.001

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