Investigation and analysis of the distribution of emergency response time for patients with multiple injuries in tertiary hospitals in Wuhan
武汉三甲医院急诊多发伤患者急救时间分布调查分析

摘要

目的 了解XX市一所公立三甲医院急诊科多发伤患者就诊时间分布。方法 2018年1月至2019年1月，采用自设时间表格，对患者从护士、医生以及检验科三个层面所需要的时间一对一全程跟踪调查，并采用SPSS分析软件进行分析。结果 挂号至转归时间段（71.13±54.57）min；挂号至接诊时间段（4.51±6.89）min，接诊至上心电监护时间段（1.31±21.78）min，接诊至給氧时间段（3.00±25.29）min，接诊至行留置针穿刺时间（1.42±24.11）min；接诊至清创时间段（26.47±46.35）min，接诊至缝合时间段（21.71±42.81）min，接诊至止血包扎时间段（11.00±37.14）min；离开急诊室至开始CR时间段（23.28±29.59）min，离开急诊室至开始CT时间段（28.40±65.03）min，离开急诊室至开始B超时间段（31.38±69.86）min；CR开始检查至结束时间段（26.90±21.11）min，CT开始检查至结束时间段（24.67±21.05）min，B超开始检查至结束时间段（25.47±19.16）min。结论 多发伤患者急救效率仍有待提高，急诊布局需要更加优化，以保证医护人员与急诊科更加高效的配合，提高患者的救治的整体水平。

Abstract

Objective To understand the distribution of treatment time for patients with multiple injuries in the emergency department of a public tertiary hospital in XX city. Method From January 2018 to January 2019, a self-designed time table was used to conduct a one-on-one follow-up survey on the time required for patients from three levels: nurses, doctors, and laboratory departments. SPSS analysis software was used for analysis. The time period from registration to transfer (71.13±54.57) minutes; The time period from registration to reception is (4.51±6.89) minutes, from reception to upper electrocardiogram monitoring is (1.31±21.78) minutes, from reception to oxygenation is (3.00±25.29) minutes, and from reception to indwelling needle puncture is (1.42±24.11) minutes; The time period from diagnosis to debridement is (26.47±46.35) minutes, from diagnosis to suture is (21.71±42.81) minutes, and from diagnosis to hemostasis and bandaging is (11.00±37.14) minutes; The time period from leaving the emergency room to the start of CR is (23.28±29.59) minutes, the time period from leaving the emergency room to the start of CT is (28.40±65.03) minutes, and the time period from leaving the emergency room to the start of ultrasound is (31.38±69.86) minutes; The time period from CR start to end (26.90±21.11) minutes, CT start to end (24.67±21.05) minutes, and ultrasound start to end (25.47±19.16) minutes.
Conclusion   The emergency response efficiency for patients with multiple injuries still needs to be improved, and the emergency layout needs to be further optimized to ensure more efficient cooperation between medical staff and the emergency department, and to improve the overall level of patient treatment.