【摘要】 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。更多还原

【Abstract】 [Objective]To analyze the historical data of critical value in intensive care unit of 174th Hospital of PLA,evaluate the application effect of critical value early warning system in intensive care unit.[Methods]1 667 critical values were selected from the critical value early warning system in intensive care unit in 2011.After pretreatment and transformation of data,the rate of critical value items and cycle time were calculated.The turnaround time of examination results,starting time of medical intervention after report,and the success rate of rescue were compared.[Results]The rate of critical values was 0.85%,which mainly occurred during 10:00-13:00 AM.The average turnaround time of critical value items was 90 minutes.Before the implementation of critical value early warning system,return time of examination results of severe patients was(69.3±18.4) minutes,starting time of medical intervention was(48.9±11.7) minutes,and the success rate of rescue in severe patients was(53.3±9.4) %.After the implementation of the system,the return time of examination results,starting time of medical intervention and the success rate of rescue was(46.8±17.9)minutes,(22.1±7.9) minutes and 80.9%,respectively,which the time shortened significantly,and the success rate of rescue increased significantly(P<0.01).[Conclusion]The critical value early warning system runs well in intensive care unit in the hospital,which can improve the success rate of rescue in severe patients,and meet the safe demands of patients.更多还原