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儿科急症护理机构中的算法指导分诊:一项回顾性研究

Algorithm-directed triage in a pediatric acute care facility: a retrospective study.

作者信息

Wilson L O, Wilson F P, Canales L

出版信息

Ann Emerg Med. 1981 Aug;10(8):427-31. doi: 10.1016/s0196-0644(81)80311-3.

Abstract

Algorithm-directed triage by nonprofessionals was used to safely assign care urgency categories to 22,934 walk-in patients under 13 years of age during 1978. Of all patients, 16.7% were categorized as having urgent or potentially urgent problems at triage. Of those patients admitted, 79.12% received these urgency classifications. Additionally, 72.13% of all patients received an acute minor illness care urgency classification. Of patients admitted, 20.87% had an acute minor illness classification. A total of 11.16% of all patients received a routine or non-urgent classification. No patients admitted had been triaged to this non-urgent classification. As determined by review of records of 91 patients admitted from the acute care facility, the system safely identifies both high- and low-risk walk-in populations.

摘要

1978年,非专业人员采用算法指导的分诊方法,为22934名13岁以下的急诊患者安全地划分护理紧急程度类别。在所有患者中,16.7%在分诊时被归类为有紧急或潜在紧急问题。在那些入院的患者中,79.12%得到了这些紧急程度分类。此外,所有患者中有72.13%被归类为急性轻症护理紧急程度。在入院患者中,20.87%属于急性轻症分类。所有患者中共有11.16%被归类为常规或非紧急类别。没有入院患者被分诊到这个非紧急类别。通过对91名从急性护理机构入院患者的记录审查确定,该系统能安全地识别高风险和低风险的急诊人群。

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