Schellein O, Ludwig-Pistor F, Bremerich D H
Abteilung für Anästhesie und Operative Intensivmedizin, St. Vincenz Krankenhaus Limburg, Akademisches Lehrkrankenhaus der Justus-Liebig-Universität Giessen, Auf dem Schafsberg, 65549 Limburg, Deutschland.
Anaesthesist. 2009 Feb;58(2):163-70. doi: 10.1007/s00101-008-1477-9.
After formal reorganization of the emergency department of the St. Vincenz Krankenhauses, Limburg, a change in the patient admission process was accomplished. The aim was to improve patient satisfaction and treatment quality by optimizing personnel, diagnostic and spatial resources. In particular the focus was on shifting the initial assessment of treatment priority to the nursing staff. A structured primary assessment triage system (Manchester triage system, MTS) was implemented by which a symptom-based prioritization of patients into five categories can be achieved. In parallel with the development and installation of a software program linking computer-based MTS classifications to defined clinical pathways and diagnostic procedures, a standardized, documented assessment of treatment priority could be achieved in 95% of emergency patients. On average the time between patients' first contact with the nursing staff and treatment by a physician was shortened from 15 to 10 min. Using this standardized, documented and user-independent triage system, medical as well as forensic safety of the admission process in an emergency department was improved.
在林堡的圣维森茨医院急诊科进行正式重组后，患者入院流程发生了变化。目的是通过优化人员、诊断和空间资源来提高患者满意度和治疗质量。特别强调的是将治疗优先级的初步评估工作交给护理人员。实施了结构化的初级评估分诊系统（曼彻斯特分诊系统，MTS），通过该系统可根据症状将患者分为五类确定优先级。在开发并安装了一个将基于计算机的MTS分类与既定临床路径和诊断程序相连接的软件程序的同时，95%的急诊患者能够实现对治疗优先级的标准化、有记录的评估。患者从首次与护理人员接触到由医生进行治疗的平均时间从15分钟缩短至10分钟。使用这种标准化、有记录且独立于用户的分诊系统，急诊科入院流程的医疗及法医安全性得到了提高。
