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Evaluation of the effects of standardization process of severe trauma treatment in China

机译:中国重度创伤治疗标准化过程的效果评价

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Objective: This study aims to evaluate the effects of standardization processes in improving severe trauma treatments in China. Methods: This study was conducted in 12 hospitals located in 12 geographically and industrially different cities in China. A standard process on severe trauma rescue was established as a general rule for staff training and patient treatment. A regional network (system) efficiently integrating pre-hospital rescue, emergency room treatments, and hospital specialist treatments was built under the rule for information sharing and improving severe trauma treatments. Treatment outcomes were compared between before and one year after the implementation of standardization processes. Results: The outcomes of a total of 74,615 and 12051 cases of severe trauma were collected from 12 hospitals before the implementation of standardization processes. Implementation of the standardization processes led to efficient cooperation and information sharing of different treatmen services. The emergency response time, pre-hospital transit time, emergency rescue time, consultation call time, and mortality rate of patients were 24.24±4.32、45.69±3.89、6.38±1.05、17.53±0.72 minutes, and 33.82±3.87%, n=441,respectively before the Implementation of the standardization and significantly reduced to 10.11±3.21、22.39±4.32、3.26±0.89、3.45±0.45 minutes, and20.49±3.11 %, seperatly, n=495, (P0.05) after that. Conclusion: Staff training and standardization processes can significantly improve the treatment efficiency of severe trauma based on current personnel and organizations of severe trauma treatments in China.
机译:目的:本研究旨在评估标准化程序在改善中国严重创伤治疗中的作用。方法:本研究在中国12个地理和工业不同城市的12家医院中进行。建立了严重创伤抢救的标准流程,作为员工培训和患者治疗的一般规则。根据规则,建立了一个区域网络(系统),有效地整合了院前抢救,急诊室治疗和医院专科治疗,以共享信息并改善严重的创伤治疗。在标准化过程实施之前和之后的一年之间比较了治疗结果。结果:在实施标准化程序之前,从12家医院收集了74,615和12051例严重创伤的结果。标准化过程的实施导致不同治疗服务的有效合作和信息共享。患者的紧急反应时间,院前转运时间,紧急抢救时间,咨询电话时间和患者死亡率分别为24.24±4.32、45.69±3.89、6.38±1.05、17.53±0.72分钟和33.82±3.87%,n = 441,分别在标准化实施之前,分别减少至10.11±3.21、22.39±4.32、3.26±0.89、3.45±0.45分钟和20.49±3.11%,分别为n = 495,(P <0.05) 。结论:根据目前中国严重创伤治疗的人员和组织,员工培训和标准化流程可以显着提高严重创伤的治疗效率。

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