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目的对中国人民解放军174医院重症监护室的危急值项目进行历史数据分析,评价检验危急值预警防控系统在重症监护室的实施效果。方法从检验危急值预警系统中筛选出2011年重症监护室的危急值项目数据1 667项,经数据预处理、变换后,计算出危急值项目的发生率和周转时间,对患者标本检验结果周转时间、回报后医疗干预开始时间及抢救成功率进行比较。结果危急值的发生率是0.85%,主要集中在上午10:00～13:00,危急值项目总体周转时间控制在1.5 h。危急值预警系统运行前危重患者标本检验结果回报时间为(69.3±18.4)min,医疗干预开始时间为(48.9±11.7)min,重患抢救成功率为(53.3±9.4)%;系统运行后危重患者标本检验结果回报时间、医疗干预开始时间、重症患者抢救成功率分别为(46.8±17.9)min、(22.1±7.9)min、80.9%,前后比较时间上明显缩短,危重患者的抢救成功率明显提高(P<0.01)。结论该院危急值高危预警系统在重症监护室运行较好,可以提高危重患者抢救的成功率,满足患者的安全要求。
Objective To analyze the historical data of the critical value project of 174 intensive care unit of Chinese People’s Liberation Army (PLA) and evaluate and evaluate the effect of early warning and prevention and control system in intensive care unit. Methods A total of 1 667 items of critical value in ICU were screened from early warning system of critical value. After data preprocessing and transformation, the incidence and turnover time of critical items were calculated, Time, return after the start of medical intervention and rescue success rate were compared. Results The incidence of critical value was 0.85%, mainly concentrated in the morning 10:00 ~ 13:00, the critical value of the project overall turnaround time controlled at 1.5 h. (69.3 ± 18.4) min, and the starting time of medical intervention was (48.9 ± 11.7) min, and the rescue success rate of serious patients was (53.3 ± 9.4)%. After the system was put into operation, the critically ill patients The time to return the test results, the time to medical intervention, and the rescue rate of severe patients were (46.8 ± 17.9) min and (22.1 ± 7.9) min and 80.9%, respectively, significantly shortening the time before and after treatment, and the success rate of rescue in critically ill patients was significantly Increase (P <0.01). Conclusion The critical high-risk warning system in this hospital runs well in intensive care unit, which can improve the success rate of rescue in critically ill patients and meet the safety requirements of patients.