目的 探讨疑难病例分诊的追踪学习在门诊分诊培训中的应用效果.方法2016年6月至9月对就诊需分诊的患者做好分诊疑难病例追踪登记,并落实个案学习计划.比较实施前后的疑难病例分诊与追踪结果一致的比例和由于护士分诊原因导致护理投诉所占的比例.结果 实施后疑难病例分诊与实际就诊结果一致的比例高于实施前,实施后护士分诊原因导致的护理投诉比例低于实施前,前后比较,差异有统计学意义(均P<0.05).结论 疑难病例追踪学习能提高门诊分诊正确率以改善及患者就医体验.%Objective To investigate the effectiveness of follow-up learning of difficult cases triage in outpatient triage training. Methods From June 2016 to September,on-duty nurses were required to register the difficult cases who needed to follow up. The case study plan was implemented.The consistency between difficult cases triage and the follow-up results and the rate of complaints from triage were compared between pre-and post-implementation of triage training. Results The rate of consistency between the difficult cases triage and the follow-up results after the implementation was significantly higher than that before the implementation(P<0.05).The rate of complaints from triage was significantly lower than that before the implementation(P<0.05). Conclusion The model of difficult cases follow-up learning is effective in improving the triage accuracy in outpatient departments and bettering the patients'experience.
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