The Establishment And Application Of The Integration Trauma Emergency Process Based On The Process Reengineering

ObjectiveBased on the process of reengineering theory, the aim of this study was to recombine the "bottleneck" issues of the existing process of trauma emergency, establish an integrated trauma emergency process and verify its effect of shortening the trauma patients' treating time, improving the treatment effect and the satisfaction of patients' caregivers. Furthermore, it provided feasible suggestions and methodological basis for the standardized management of patients with trauma emergency. MethodsFirstly, this study established an integrated trauma emergency process. According to the principle and methods of the process reengineering theory, a new integrated trauma emergency process was established which was based on the literature research and semi-structured interview through analyzing the issues and reasons of original trauma emergency process. Among the establishment, some key measures were used such as establishing an independent emergency medical team, improving its quality, improving the pre-hospital, on-site, it the hospital diagnosis and treatment.Secondly, this study verified the effect of the integrated trauma emergency process. The experimental research method was used in this study. It chose the trauma patients transferred by ambulance as experimental group between January and December in 2014 from the First Affiliated Hospital of Zhengzhou University. The patients in this group were treated with the integrated trauma emergency process and the data was collected after the treatment. Meanwhile, it chose the trauma patients treated in the same hospital as control group between January and December in 2013. The medical records were collected by the retrospective method. The treatment time, treatment effect and the satisfaction of patients' caregivers of the two groups were compared. SPSS17.0 statistical software was used for data processing and analyzing. Statistical methods such as descriptive statistics, chi-square test, t test, Z test were used. Results 1 Sample fallen offThere were 125 patients in the experimental group among which 3 cases were fallen off and 122 cases were left, whereas there were 125 patients in the control group among which 1 case was fallen off and 124 cases were left. The loss rates of the two groups were 1.99% and 0.81% respectively. 2 The comparison of the average emergency task time between the two groups after interventionThe average task time of the experimental group and control group were 41.45±10.52 minutes and 34.19±7.55 minutes. The two independent sample t-test results showed that the differences in the average task time after using the integrated trauma emergency process between the two groups were statistically significant(t=2.244, P<0.05). The differences in the average departing time, arriving time, treating time, transfer time, waiting time and admitting to hospital time between the two groups were statistically significant(P< 0.05). 3 The comparison of the treatment effect between the two groups after interventionThe patients in the control group were treated with the original trauma emergency process and the patients in the experimental group were treated with the integrated trauma emergency process. The differences in the treatment effect between the two groups were statistically significant(H=10.665,P=0.001<0.05). 4 The comparison of the satisfaction of patients' caregivers between the two groups after interventionThe total score of the satisfaction of patients' caregivers in the experimental group was(7.63±0.60). However, the total score in the control group was(5.91 + 0.44). The difference between the two groups was statistically significant(P< 0.05). Conclusions 1. The process reengineering method can be applied to optimize the treatment process of trauma emergency patients. 2. The integrated trauma emergency process can shorten the average task time of the trauma emergency patients. 3. The integrated trauma emergency process can improve the treatment effect of trauma emergency patients. 4. The integrated trauma emergency process can improve the satisfaction of patient's caregiver.