Crisis management based on Staff-Stuff-Structure framework in the nursing management of emergency infusion room

Objective To analyzes the problems and countermeasures of emergency nursing management in emergency infusion room during patient surge period and summarizes experience of crisis management based on Staff-Stuff-Structure framework. Methods This study was a retrospective cohort study. A total of 14300 patients who received infusion therapy in the emergency infusion room from July 2022 to September 2022 were selected as the control group, and 14323 patients who received infusion therapy in the emergency infusion room of the hospital from July 2023 to September 2023 were selected as the observation group. The control group was managed by conventional nursing management mode, and the observation group was managed by crisis management based on Staff-Stuff-Structure (3S) framework. The infusion waiting time, order receiving time to puncture success, total infusion time were observed, and 1% of patients were selected to investigate the satisfaction of nursing work. Results During the peak period of infusion, the infusion waiting time of the observation group was (0. 33±0. 14) h, which was shorter than (0. 66±0. 12) h of the control group (P＜0. 01). The time from order receiving to successful puncture was (0. 20±0. 03) h, which was shorter than(0. 50±0. 07) h of control group (P＜0. 01). The total time of infusion was (2. 01±1. 11) h in the observation group, which was shorter than (3. 33±1. 06) h of control group (P＜0. 01). The satisfaction of patients in observation group was higher than that in control group (P＜0. 01). Conclusion By analyzing potential risks in emergency infusion patient surge and carrying out targeted intervention measures, 3S-based crisis management system could reduce the influencing factors of nursing safety and improve work efficiency and patient satisfaction. (目的 分析急诊输液室输液患者数量激增期间面临的应急护理管理问题及对策, 总结基于3S系统框架的危机管理实践经验。方法 本研究为回顾性队列研究。采用整群抽样法, 将2022年7月—2022年9月医院急诊输液室接受输液治疗的14300例患者为对照组, 2023年7月—2023年9月医院急诊输液室接受输液治疗的14323例患者为观察组。对照组采用常规护理管理模式进行干预, 观察组实施基于3S系统框架的危机管理。比较两组患者输液等待时间、接单至穿刺成功时间、输液总耗时; 抽取1. 00%患者对护理工作进行满意度调查。结果 观察组输液等待时间为(0. 33±0. 14)h, 低于对照组的(0. 66±0. 12)h, 差异有统计学意义(P＜0. 01); 观察组接单至穿刺成功时间为(0. 20±0. 03)h, 低于对照组的(0. 50±0. 07)h, 差异有统计学意义(P＜0. 01); 观察组输液总耗时为(2. 01±1. 11)h, 低于对照组的(3. 33±1. 06) h, 差异有统计学意义(P＜0. 01)。观察组患者满意度高于对照组(P＜0. 01)。结论 急诊输液室输液患者数量激增期间, 运用基于3S系统框架的危机管理方法分析存在的隐患问题并进行针对性的干预措施, 能有效降低护理安全隐患的发生风险, 提高工作效率和患者满意度。)