縮短急性心肌梗塞病人轉院時間

Reducing Interhospital Transfer Time for Acute Myocardial Infarction Patients

黃麗娟(Huang,Li-Chun) ； 高錦慧(Kao,Ching-Hui) ； 黃雅文(Huang,Ya-Wen)

《安泰醫護雜誌》 23卷1期 (2017/06) Pp. 43-56

摘要

目的:多項研究證實介入性心導管治療可降低心肌梗塞病人的死亡率、心肌再梗塞及腦中風的比例，臨床單位發現急性ST段上升型心肌梗塞病人的轉院時間過長而延誤黃金治療時間，引發專案改善動機，以縮短急性心肌梗塞病人轉院時間。方法:解決方案：(1)安排教育訓練；(2) 改變急診就醫流程，有胸痛主訴先行EKG 檢查，再行檢傷；(3) 製定HIS 系統急性心肌梗塞檢驗與治療群組化；(4)發展，心肌梗塞專用護理紀錄單；(5) 與合作醫院制定快速轉院流程。結果：經專案改善後，急性心肌梗塞病人轉院時間由106.7分鐘縮短至28分鐘。結論：透過跨領域團隊合作、互相溝通及學習，提升同仁間的團結心及責任感，亦全面提昇急診醫療服務之效率，期望藉此專案分享應用跨院區間的合作模式，可供管理者於未來溝通或協商方案時之參考。

關鍵字

急性心肌梗塞 ； 轉院 ； 急診

並列摘要

Objective: Acute myocardial infarction (AMI) patients must grasp prime time to primary percutaneous coronary intervention. The investigation of the prolonged staying time in the emergency department ware for a long time. This motivates us to design a project to reduce interhospital transfer time. Method: The method was including education and training awareness, changes treatment process, the development of HIS system exam and treatment grouping; to use special nursing record and to rapid referral hospital processes. Results: After implementing the protocol, the time of transferred was from 106.7 minutes to 28 minutes. Through interdisciplinary learning enhance solidarity and responsibility of colleagues. Conclusion: This protocol can be a campus-wide model to share interdisciplinary cooperation and enhance the efficiency of emergency medical services.

並列關鍵字

Acute myocardial infarction ； Interhospital transfer ； Emergency department