Critical paths of pre­hospital emergency treatment based on time limit management of major diseases in emergency department

doi:10.3877/cma.j.issn.2095-9133.2016.04.003

Chinese Journal of Hygiene Rescue(Electronic Edition) ›› 2016, Vol. 02 ›› Issue (04): 214-216. doi: 10.3877/cma.j.issn.2095-9133.2016.04.003

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Critical paths of prehospital emergency treatment based on time limit management of major diseases in emergency department

Yang Li¹, Junling Leng¹(), Kejie Ma¹

Received:2016-05-19 Online:2016-08-18 Published:2016-08-18
Contact: Junling Leng

Abstract

Yang Li, Junling Leng, Kejie Ma. Critical paths of prehospital emergency treatment based on time limit management of major diseases in emergency department[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2016, 02(04): 214-216.

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入院方式	发病-抢救室	挂号-病房	挂号-影像	挂号-血检
急诊专科医师	215.0±316.9	44.0±27.7	11.4±9.6	68.4±27.3
内科轮转医师	251.9±340.8	58.0±33.1	13.8±12.0	103.8±53.1
相差	37	14	2.4	35.4

入院方式	发病-抢救室	挂号-病房	挂号-影像	挂号-血检
急诊专科医师	215.0±316.9	44.0±27.7	11.4±9.6	68.4±27.3
内科轮转医师	251.9±340.8	58.0±33.1	13.8±12.0	103.8±53.1
相差	37	14	2.4	35.4

指标	实施前(117例)^a	实施后(64例)^b
急诊-病房平均时间(min)	55.7±29.7	51.1±28.8
急诊-执行CT检查平均时间(min)	12.0±10.1	10.1±8.2
急诊-执行血液检查平均时间(min)	77.8±39.0	64.4±36.8
急诊-执行心电检查平均时间(min)	95.1±48.6	86.3±44.3
NIHSS、GCS评分率(%)	55.4	85.9
入院前急诊血液检查率(%)	46.0	73.4
入院前急诊心电检查率(%)	38.0	68.6
急诊溶栓例数	2	4

指标	实施前(117例)^a	实施后(64例)^b
急诊-病房平均时间(min)	55.7±29.7	51.1±28.8
急诊-执行CT检查平均时间(min)	12.0±10.1	10.1±8.2
急诊-执行血液检查平均时间(min)	77.8±39.0	64.4±36.8
急诊-执行心电检查平均时间(min)	95.1±48.6	86.3±44.3
NIHSS、GCS评分率(%)	55.4	85.9
入院前急诊血液检查率(%)	46.0	73.4
入院前急诊心电检查率(%)	38.0	68.6
急诊溶栓例数	2	4

?	实施前(72例)^a	实施后(48例)^b
急诊-病房平均时间(min)	32.6±19.7	29.1±16.3
急诊-抗凝药物使用平均时间(min)	91.9±89.9	13.6±12.5
急诊-执行血液检查平均时间(min)	51.5±19.9	45.6±19.9
急诊-执行心电检查平均时间(min)	30.5±31.2	11.7±11.2
TIMI评分率	22.2%	62.5%
入院前急诊血液检查率	13.9%	45.83%
入院前急诊心电检查率	63.9%	83.3%
急诊溶栓例数	6	5

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Critical paths of prehospital emergency treatment based on time limit management of major diseases in emergency department