| ObjectiveAfter the establishment of the network information sharing platform before and within the hospital,the platform was verified to verify whether the pre-hospital emergency time,the response time before and within the hospital were shortened,the pre-hospital emergency effect,and the satisfaction of patients and their families were improved.It provides a theoretical basis for the standardized treatment process of network informatization before the hospital.MethodsEstablishment of network information sharing platform:the first aid center introduces network technology,updates first-aid equipment,conducts training on new technology and equipment,formulates standards for first-aid procedures of the platform,and establishes a network information sharing platform for pre-hospital first-aid units and medical treatment units.To verify the application effect of the platform:based on the time of application of the platform as the dividing line,patients who received pre-hospital treatment in an emergency center in zhejiang province from August to December 2019 were selected as the experimental group,and the platform first aid process was adopted.The patients received before the hospital from January to May 2019 were used as the control group and 120 first-aid procedures were adopted.The pre-hospital response time,hospital response time and pre-hospital first-aid effect of the two groups were compared and analyzed,and the satisfaction of patients and their families before and after the application of the platform was compared.SPSS24.0 software was used for data analysis and processing,and P<0.05 indicated a statistically significant difference.Results1.Comparison of pre-hospital response time for various diseases:alarm call time of the cardiac arrest group(t=3.137,P<0.05),the boarding time of the first aid group(t=2.511,P<0.05)were all lower than the control group;Alarm time of trauma group(t=5.516,P<0.05),the boarding time of the first aid group(t=2.071,P<0.05)were all lower than the control group;Alerting time of the cardiovascular disease group(t=2.374,P<0.05),first aid group boarding time(t=3.575,P<0.05)were all lower than the control group;Alarm time of the neurological disease group(t=5.156,P<0.05),first aid group boarding time(t=5.457,P<0.05)were all lower than the control group;Alarm time of the respiratory disease group(t=4.015,P<0.05),first aid group boarding time(t=2.189,P<0.05)were all lower than the control group;Alarm time of the digestive system disease group(t=5.177,P<0.05),first aid group boarding time(t=9.111,P<0.05)were all lower than the control group;Alarm time in pediatric disease group(t=3.921,P<0.05),the boarding time of the first aid group(t=13.074,P<0.05)were all lower than the control group;Alarm time in the obstetrics and gynecology group(t=5.712,P<0.05),first aid group’s boarding time(t=2.657,P<0.05)were all lower than the control group;Alarm time of the poisoning group(t=5.796,P<0.05),the boarding time of the first aid group(t=4.972,P<0.05)were all lower than the control group;Alarm time of other groups(t=5.989,P<0.05),first aid group boarding time(t=3.592,P<0.05)were all lower than the control group.2.The comparison of first-aid treatment time between the two groups with various diseases was not statistically significant(P<0.05).3.Comparison of nosocomial response time of various diseases:Nosocomial response time of the cardiac arrest group(t=14.18,P<0.05),Hospital handover time(t=2.642,P<0.05)were all lower than the control group;Nosocomial response time of trauma group(t=13.189,P<0.05),Hospital handover time(t=2.250,P<0.05)were all lower than the control group;Nosocomial response time of the cardiovascular disease group(t=13.900,P<0.05),Hospital handover time(t=3.718,P<0.05)were all lower than the control group;Nosocomial response time of the neurological disease group(t=13.135,P<0.05),Hospital handover time(t=3.989,P<0.05)were all lower than the control group;Nosocomial response time of the respiratory disease group(t=15.623,P<0.05),Hospital handover time(t=6.720,P<0.05)were all lower than the control group;Nosocomial response time of digestive system disease group(t=23.428,P<0.05),Hospital handover time(t=2.211,P<0.05)were all lower than the control group;Nosocomial response time of pediatric disease group(t=0.042,P<0.05),Hospital handover time(t=2.999,P<0.05)were all lower than the control group;Nosocomial response time of the obstetrics and gynecology group(t=12.573,P<0.05),Hospital handover time(t=4.809,P<0.05)were all lower than the control group;Nosocomial response time of the poisoning test group(t=20.432,P<0.05),Hospital handover time(t=2.440,P<0.05)were all lower than the control group;Nosocomial response time of other groups(t=24.393,P<0.05),Hospital handover time(t=5.521,P<0.05)were all lower than the control group.4.The resuscitation success rate of the control group and the experimental group were 15.6%and 37.5%,respectively.The resuscitation effect of the experimental group was better than that of the control group,and the difference was statistically significant(χ~2=3.925,P<0.05);Except for diseases of the nervous system,digestive system and other diseases,there was no significant difference in first-aid effect between the experimental group and the control group(P>0.05),the first-aid effect of most other disease categories was better than that of the control group,and the difference was statistically significant(P<0.05).5.After the application of the platform,patients and their families were significantly more satisfied with the technology,attitude and procedures than before the application of the platform(P<0.05).ConclusionThe establishment and application of the network information sharing platform can optimize the first aid process.It can shorten the pre-hospital and in-hospital response time,thus shortening the whole emergency time.To improve the success rate of resuscitation in patients with prehospital cardiac arrest and improve the treatment effect of most diseases;It can reduce the occurrence of accidents,medical disputes and patients’complaints before hospital;To improve the satisfaction of patients and their families with pre-hospital emergency medical services. |
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