关键词: 急诊室, 医院, 预检分诊, 现况调查, 培训, 质量控制

Abstract: Objective To investigate the current status and differences of emergency pre-examination triage in general hospitals in Zhejiang province，so as to provide a basis for further improving the quality and level of hospital emergency triage. Methods Cluster sampling method was used to conduct a questionnaire survey on emergency prescreening and triage in 193 secondary and above hospitals in Zhejiang Province. The survey contents included the basic situation of emergency department，the implementation status of emergency prescreening and triage and the training needs of pre-screening and triage personnel，etc. The director of emergency department or head nurse filled in the questionnaire. Zhejiang Province and municipal emergency quality control centers assisted in implementing the delivery，recovery and checking of the questionnaires，and the investigation time was from October 24，2022 to December 06，2022. Results Finally，161 hospitals were included，among which 7 were secondary hospitals without pre-examination triage. In 154 hospitals，pre-examination triage was set up，including 48 tertiary class A hospitals，39 tertiary class B hospitals，47 secondary class A hospitals and 20 secondary class B hospitals. The total number of beds in hospitals，the total number of emergency patients，the number of critical patients，pre-examination triage settings，personnel training and assessment，quality control were statistically different among different grades of hospitals（P<0.05）. 85.1% of emergency pre-examination and triage were open for 24 hours，94.2% were carried out by emergency nurses alone，93.5% adopted the 2018 edition of Zhejiang Emergency pre-examination and triage standard（Level 4），50.0% used special software equipment for pre-hospital and in-hospital linkage，and 78.6% used special electronic pre-examination and triage system for registration. 87.7% required pre- screening personnel to have emergency related work experience，76.6% to carry out uniform and standardized pre-job training，55.8% to carry out post assessment，99.4% of hospital desired to unify the standards of emergency triage in the whole province，and the demand for homogeneous training was 100% . 72.1% carried out quality control of emergency pre-examination triage，44.8% adopted hierarchical number calling，29.9% had monitoring and early warning of emergency pre-examination and doctor’s receiving time. The contents of pre-examination triage assessment varied among patients in different grade of hospitals. Conclusion Emergency pre-screening and triage standards and training needs of general hospitals in Zhejiang province are relatively uniform，and the degree of information is high. However，there is a lack of perfect access standards，training assessment and evaluation system， and the level of emergency triage in secondary hospitals is low. In the future，the pre-examination and triage system should be continuously perfected to improve the emergency service capacity of primary units.

Key words: Emergency Service, Hospital, Pre-examination Triage, Current Status, Training, Quality Control