Objective To design and apply the admission process based on "Internet Plus" in emergency and critical patients. Methods The hospital admission process of emergency critically ill patients was optimized through literature review and group discussion methods,and patients' family members paid online by mobile application and Wechat public account,nurses in emergency department handled admission procedures online,and the "Internet Plus" hospital admission process was developed. 124 critically ill patients who were admitted to the emergency department and hospitalized from January 2021 to March 2021 were selected as the experimental group. The experimental group used the “Internet Plus” hospital admission process. A total of 94 critically ill emergency patients who were admitted and hospitalized from October 2020 to December 2020 were selected as the control group and used the traditional admission procedures. The completion time and satisfaction of admission procedures between the two groups were compared. Semi-structured interviews were conducted to understand the medical staff's opinions on the “Internet Plus” admission process. Results The completion time of admission procedures in experimental group was 20.84 min shorter than that in control group（P< 0.05）. Nursing satisfaction of experimental group was 96.8%,and that of control group was 25.5%,and the difference between the two groups was statistically significant（P< 0.05）. Ten interviewed medical staff recognized the effects of the “Internet Plus” admission process and put forward effective suggestions. Conclusion The “Internet plus” emergency hospital admission process for emergency and critically ill patients can shorten hospital waiting time and improve patient satisfaction.
ZENG Jia
,
GUO Meiying
,
XIAO Tao
,
XIE Wenzhao
,
CAO Dun
,
WANG Sha
,
LIU Huan
,
NING Ni
. Design and application of “Internet Plus” based admission process in emergency and critical patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022
, 3(2)
: 135
-139
.
DOI: 10.3761/j.issn.2096-7446.2022.02.007
[1] 国家卫生和计划生育委员会. 2015中国卫生和计划生育统计年鉴[M]. 北京:中国协和医科大学出版社,2015.
National Health and Family Planning Commission. 2015 stati-stical yearbook of China's health and family planning[M]. Bei-jing:China Union Medical College Press,2015.
[2] 连志猛,陈长贤,李金塔. 三级医院入院流程的现状调查和对策研究[J]. 社区医学杂志,2017,15(1):17-21.
Lian ZM,Chen CX,Li JT.Status survey and countermeasure study of admission process in tertiary hospitals[J]. J Community Med,2017,15(1):17-21.
[3] 常健,刘明敏,钟力炜,等. 服务蓝图在出入院服务流程优化中的应用及效果分析[J]. 中国医院管理,2017,37(6):39-41.
Chang J,Liu MM,Zhong LW,et al.Application and effect analysis of service blueprint applied in the process optimization of admission and discharge service[J]. Chin Hosp Manag,2017,37(6):39-41.
[4] Delice O,Shams Vahdati S,Arslan S,et al.A comparative study of the registry system effect on patient's satisfaction rate in two emergency department settings[J]. Bull Emerg Trauma,2021, 9(3):138-144.
[5] 王宏秋,刘颖青,赵丽新. 信息化助力急诊流程改善的设计与实践[J]. 中国护理管理,2020,20(2):259-261.
Wang HQ,Liu YQ,Zhao LX.Design and practice of an electronic triage system in emergency process improvement[J]. Chin Nurs Manag,2020,20(2):259-261.
[6] 李华才. “互联网+护理”模式下的创新思维与发展举措[J]. 中国数字医学,2016,11(4):1.
Li HC.Innovative thinking and development measures under "Internet+nursing" model[J]. China Digit Med,2016,11(4):1.
[7] 张素兰,刘倩倩,王佳琪,等. 手臂输液港信息化管理平台的构建及应用[J]. 中华护理杂志,2020,55(7):1075-1080.
Zhang SL,Liu QQ,Wang JQ,et al.Construction and application of an information management platform of arm infusion port[J]. Chin J Nurs,2020,55(7):1075-1080.
[8] 陈桂英. 当护理邂逅“互联网+”会擦出怎样的火花:访首都医科大学护理学院院长吴瑛[J]. 中国护理管理,2016,16(3):289-291.
Chen GY.What kind of sparks will emerge when nursing meets “Internet +”:visit Wu Ying,dean of School of Nursing,Capital Medical University[J]. Chin Nurs Manag,2016,16(3):289-291.
[9] 居益君,徐道亮,崔有文,等. 大型综合医院入院服务管理模式再造的探索与实践[J]. 中国数字医学,2019,14(4):39-41.
Ju YJ,Xu DL,Cui YW,et al.Exploration and practice of the reengineering of the admission service management model in the large general hospital[J]. China Digit Med,2019,14(4):39-41.
[10] 李建云,谢小朋,沈美玲,等. 两站式入院流程在心内科的应用效果观察[J]. 护理学报,2020,27(14):17-19.
Li JY,Xie XP,Shen ML,et al.Implementation of two-stop hospitalization procedure in department of cardiology[J]. J Nurs China,2020,27(14):17-19.
[11] 王璐瑶. 体验视角下的H医院住院患者满意度提升策略研究[D]. 开封:河南大学,2019.
Wang LY.A study on the strategy of improving inpatients satisfaction in H hospital from the perspective of experience[D]. Kaifeng:Henan University,2019.
[12] 郭睎,廖四照,余苗文,等. 某医院患者对入院流程满意度及改善点研究[J]. 中国卫生事业管理,2018,35(9):652-656.
Guo Xi,Liao SZ,Yu MW,et al.Studying on the patients' satisfaction degree on hospital admission process and its improvements[J]. Chin Heal Serv Manag,2018,35(9):652-656.
[13] 张翠娟. 急诊患者护理服务满意度影响因素分析[J]. 医学理论与实践,2021,34(19):3465-3467.
Zhang CJ.Analysis on the influencing factors of nursing service satisfaction of emergency patients[J]. J Med Theory Pract,2021,34(19):3465-3467.
[14] Son H,Yom YH.Factors influencing satisfaction with emergency department medical service:patients' and their companions' perspectives[J]. Jpn J Nurs Sci,2017,14(1):27-37.
[15] 杨瑛,朱珠,蒋燕勤,等. 某三级公立医院出入院服务时效和患者满意度现况分析[J]. 中国医院管理,2021,41(1):63-66.
Yang Y,Zhu Z,Jiang YQ,et al.Analysis of the effectiveness of in and out hospital services and patient satisfaction in a tertiary public hospital[J]. Chin Hosp Manag,2021,41(1):63-66.
