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目的:探讨改良早期预警评分系统在眼科应用效果。方法:借鉴香港东区尤德夫人那打素医院(简称东区医院)的改良早期预警评分系统的实施经验,结合眼科专科特点,制定适合眼科患者的MEWS评分表、评估流程、标准化的管理流程。结果:采用改良早期预警评分系统对眼科住院患者进行病情评分后,住院患者的意外事件及时救治率由(2015年)73.3%提高到(2016年)89.4%,转院率由(2015年)26.6%降低到(2016年)10.5%;医生对护士的满意度由86.25%提高到92.5%(P<0.05)。结论:应用改良早期预警评分系统对眼科住院患者病情进行评分,提高了医护人员的预警意识,减少了临床中患者意外事件的发生。提高了护士观察病情的能力及医生对护士的满意度。
Objective: To explore the application of improved early warning score system in ophthalmology. Methods: Based on the implementation experience of the improved early warning score system of the Pamela Youde Nethersole Eastern Hospital in Hong Kong, and combining the characteristics of ophthalmology, MEWS score sheet, evaluation procedure and standardized management procedure were developed. Results: The rate of timely treatment of inpatient accident increased from 73.3% in 2015 to 89.4% in 2016 using the improved early warning scoring system. The rate of transfer from hospital to hospital was 26.6% To 10.5% in 2016 (2016); the satisfaction of doctors to nurses increased from 86.25% to 92.5% (P <0.05). Conclusion: The improved early warning score system is applied to evaluate the condition of ophthalmology inpatients, which improves the early-warning awareness of medical staff and reduces the occurrence of patients’ clinical accidents. Nurses improve the ability to observe the condition and the satisfaction of doctors to nurses.