以四重目标理论为指导同质化管理急诊跨科收治患者的效果评价

doi:10.3761/j.issn.2096-7446.2024.11.004

Abstract

Abstract: Objective Guided by the quadruple Objective theory,to establish a homogeneous nursing management method for cross-disciplinary admission of emergency patients,and evaluate its application effect. Methods A research group was established to conduct unified training on homogenization of cross-department management for emergency patients. The patients admitted to cross-departments from the emergency department of a tertiary hospital in Hangzhou from January to June 2022 were selected as the experimental group（n=915）,and the patients admitted from July to December 2021 was retrospectively analyzed as the control group（n=917） and received the routine nursing. The nursing quality and safety indicators,such as the hospital-wide emergency call system（999） and rapid response team（RRT） initiation,medication errors,bed falls,and pressure injuries,efficiency indicators such as the time to first doctor‘s order issued,the average length of hospital stay,and the satisfaction of patients and doctors with nurses,were compared between the two groups. Results Compared with the control group,the safety and quality indicators of nursing management including the 999 initiation rate and RRT initiation rate,medication errors,bed falls and pressure injuries were decreased in the experimental group. In terms of efficiency management,the time for the first order issued by the specialist in charge was shortened（P<0.001）. The average length of hospital stay for similar diseases decreased significantly（P=0.003）. The satisfaction of patients and doctors with nurses was significantly increased（all P<0.001）. Conclusion The application of quadruple Objective theory to construct a homogenized nursing management for emergency patients‘ cross-department treatment contributes to improving nurses‘ safety management and efficiency management,and the satisfaction of emergency patients and doctors with nurses.

Key words: Emergency Patients, Cross-Disciplinary Admission, Quadruple Objective Theory, Homogenization, Safety Management, Efficiency Management

CAO Junhua, ZHOU Lili, YANG Minfei, WU Xiaoyan, ZHAO Jinfeng, HUANG Hongyan. Effect evaluation of homogeneous nursing management for cross-disciplinary admission of emergency patients under the quadruple objective theory[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(11): 985-990.

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Effect evaluation of homogeneous nursing management for cross-disciplinary admission of emergency patients under the quadruple objective theory

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