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目的查找急救各环节存在的问题,降低急救死亡率和伤残率,为进一步建设和完善急救网络提供客观依据。方法对照2002年和2003年全市各急救网络医院急诊入院急救的死亡病历填写调查表,用Profox6.0建立数据库,用SPSS11.0统计分析。结果各项急救处置距入院时间中位数:2002和2003年度下达首次医嘱时间分别为5min和0min,执行首次医嘱时间分别为5min和0min,二线或上级医师到场时间分别为14min和30min,院内会诊时间分别为180min和20min,开始输血时间分别为100min和80min;2003年落实制度和质量控制方面均有所提高,但调查中发现一些医师对急救技术和程序掌握不到位,医疗文书时间因素记录不详细,仍存在制度不落实的现象。结论2003年度急诊住院急救患者在时间因素、技术因素和质量因素等方面均有提高,但仍要提高对急救工作的重视程度。
Objective To find out the problems existing in all aspects of first aid, reduce the mortality rate and disability rate of first aid, and provide objective basis for the further construction and improvement of emergency network. Methods The questionnaires were filled in the emergency medical records of the first aid hospital emergency hospitals in 2002 and 2003. The database was established with Profox 6.0 and statistical analysis was performed with SPSS 11.0. Results Median time spent on first aid treatment from hospitalization: The first medical order time in 2002 and 2003 was 5 min and 0 min, respectively, the first medical visit time was 5 min and 0 min, the second and upper physician visit time was 14 min and 30 min, respectively. The time was 180 min and 20 min, respectively. The starting time for blood transfusion was 100 min and 80 min respectively. In 2003, the implementation system and quality control were improved. However, some physicians found that the emergency techniques and procedures were not in place during the survey. The time records of medical instruments were not recorded. In detail, there are still phenomena where the system is not implemented. Conclusions Emergency hospital emergency patients in 2003 have improved in terms of time factors, technical factors and quality factors, but still need to pay more attention to emergency treatment.