非住院患者快速反应系统的建立与实施

摘要

We established the rapid response system for non-hospitalized patients from 2012 in order to improve the effectiveness of emergent critical care for non-hospitalized patients when emergency happened.From January 2013 to December 2016,there were 122 cases with RRS activation for non-hospitalized patients.The time to arrive was 3.16±0.41 min,and 107 cases(86.89％)were sent to the emergency department.Fifteen patients(14.02％)were classified as level 1,26(24.03％)as level Ⅱ,48(16.82％)as level Ⅲ,and 18(16.82％) as level ⅣV,and 83％ were critical patients.Rapid response system is important to cope with emergency in non-hospitalized patients.%为了提高院内非住院患者发生突发事件时紧急救护的有效性和保障患者的安全,2012年建立了非住院患者快速反应系统,包括建立快速反应小组、制订预警触发标准、急救设备的管理、紧急求救呼叫系统的覆盖和应答等方面.系统建立后,从2013年1月-2016年12月共急救患者122例,快速反应小组到达时间为(3.16±0.41) min;107例(87.70％)被送往急诊室进一步处理,其中危重患者比例达83.00％.非住院患者发生突发事件时,快速反应系统的实施能保障非住院患者的安全,对患者急救有重要意义.