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目的探讨持续改进危急值报告制度对肿瘤内科住院患者诊断和治疗的作用。方法收集2013年1月1日-2015年1月1日肿瘤内科危急值登记本上所有数据并进行整理分析。结果 2013年1月1日-2014年1月1日(改进前)接到相关科室报告并记录有危急值的患者共96例,2014年1月2日-2015年1月1日(改进后)接到相关科室报告并记录有危急值的患者共61例。常见的异常指标为白细胞、血小板、血清钾、血清钠、血清钙、肌酐和尿酸。与改进前比较,改进后危急值重复报告率明显降低,患者的满意度明显提高,且未发生因危急值所致的医疗纠纷,差异有统计学意义(P<0.05)。结论根据科室实际情况持续改进危急值报告制度能更好地指导临床工作,保障患者医疗安全。
Objective To explore the effect of continually improving the reporting system of critical value in the diagnosis and treatment of inpatients with oncology. Methods All the data of the oncology emergency register from January 1, 2013 to January 1, 2015 were collected and analyzed. Results From January 1, 2013 to January 1, 2014 (before improvement), there were 96 patients who received the report of the department and recorded the critical value, January 2, 2014 - January 1, 2015 (after improvement A total of 61 patients were reported to the department and recorded critical values. Common abnormal indicators of white blood cells, platelets, serum potassium, serum sodium, serum calcium, creatinine and uric acid. Compared with the pre-improvement, the improved report rate of critical value of the critical value was significantly reduced, the patient’s satisfaction was significantly improved, and there was no medical dispute caused by the critical value, the difference was statistically significant (P <0.05). Conclusion According to the actual situation of the department continuously improve the critical value reporting system can better guide the clinical work to protect the patient’s medical safety.