Abstract

Objective To explore status quo of preview emergency triage and the effects of continuous quality improvemen ( CQI) on diagnosis accuracy rate .Methods Retrospective analysis of our hospital in 2012 January to June was made in the following respects:missed diagnosis , misdiagnosis and accurate rate before the implementation of CQI triage , it was compared with the situation after implemen-ting CQI 2013 January to June , the effects of the implementation of continuous quality improvement were evaluated.Results The implement of CQI after 2013, Pre-examination and triage rate (100%) , accuracy rate (95%), patients’satisfaction (99%), triage process quality assessment score (92.37 ±3.65 ) were significantly higher than those in 2012; Preview emergency triage misdiagnosis rate (2%), the missed diagnosis (7%), nursing disputes rate (1%), preview triage average time (35.27 ±6.31) were significantly lower than those in the 2012.Conclusions Continuous quality improvement can significantly improve the accuracy of emergency triage , triage work efficiency , re-duce the rate of missed diagnosis , misdiagnosis , ensure medical safety. Key words: Pre-examination and triage; Misdiagnosis; Missed diagnosis; Accuracy; Continuous quality improvement

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