|本期目录/Table of Contents|

[1]杨银玉,孙 莉,程慧玲,等.重症患者转运前核查程序的设计及应用研究[J].医学研究与战创伤救治(原医学研究生学报),2013,15(06):599-601.[doi:10.3969/j.issn.1672-271X.2013.06.015]
 YANG Yin-yu,SUN Li,CHENG Hui-ling,et al.Developing and applying a standardized check program for the intro-hospital transport of critically ill patients[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(06):599-601.[doi:10.3969/j.issn.1672-271X.2013.06.015]
点击复制

重症患者转运前核查程序的设计及应用研究()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第15卷
期数:
2013年06期
页码:
599-601
栏目:
出版日期:
2013-11-20

文章信息/Info

Title:
Developing and applying a standardized check program for the intro-hospital transport of critically ill patients
作者:
杨银玉1孙 莉2程慧玲3陈 婷4赵美玲5
221004 江苏徐州,解放军97医院,1.护理部,2.急诊科,3.重症医学科,4.心胸外科,5.麻醉科
Author(s):
YANG Yin-yu1SUN Li2CHENG Hui-ling3CHEN Ting4ZHAO Mei-ling5.
1.Nursing Department,2.Department of Emegency,3.Intensive Care Unit,4.Department of Thoracic Surgery,5.Department of Anesthesiology,97 Hospital of PLA,Xuzhou,Jiangsu 221004,China
关键词:
重症患者转运核查程序不良事件
Keywords:
critically ill patients transport check program adverse events
分类号:
R473
DOI:
10.3969/j.issn.1672-271X.2013.06.015
文献标志码:
A
摘要:
目的 评价重症患者转运前核查程序对重症患者转运质量的影响。方法 自行设计、应用重症患者转运前核查程序。观察重症患者院内转运708例次,逢单数进入对照组,双数进入观察组。对照组转运人员凭经验完成转运前准备,观察组按书面核查程序执行。结果 观察组患者主要不良事件发生率分别为心血管系统0.57%、呼吸系统1.98%、呼吸机适应0.00%及医疗设备相关0.28%,都低于对照组(P<0.05)。转运前准备时间缩短,物品携带齐全率100%;患者或家属及转运人员对转运服务质量满意度分别为99.44%、98.87%,都优于对照组(P<0.01)。结论 重症患者转运前核查程序可行,有效,可显著降低危重患者转运风险,提高转运效率,保证转运质量。
Abstract:
Objective To evaluate the effect of check program before transport on the quality of transport in critically ill patients.Methods We self-designed and applied a set of check program before transport for critically ill patients,then observed the transport of critically ill patients in our hospital.Totally 708 times were divided into control group and observe group according to odd or even numbers.In control group the staff completed the preparation before transport depending on their experiences,observe group according check program.Results In the observation group the incidences of adverse events of cardiovascular system,respiratory system,ventilator adaptation,equipment were 0.57%,1.98%,0.00%,0.28%,respectively.Comparing with control group,they reduced (P<0.05).The preparation time before transport shortened.The rate of complete articles carry was 100%.The degree of satisfaction of patients/familiality and transport staff with the quality of transport were 99.44%,98.87%,respectively.Comparing with control group,they remarkably increased (P<0.01).Conclusion A standardized check program for the intro-hospital transport of critically ill patients possesses feasibility and efficiency.It could reduce the risk of transport,improve the transport efficiency and ensure the transport quality.

参考文献/References:

[1] Fanara B,Manzon C,Barbot O,et al.Recommendations for the intra-hospital transport of critically ill patients[J].Critical Care,2010,14(3):R87.
[2] 王自珍,董建英,毕越英,等.综合主动型新生儿转运网络的应用与成效[J].护理管理杂志,2010,10(2):144-145,147.
[3] 赖天为,韦柳青,龙 琼,等.ICU危重患者院内转运前护理评估的方法与体会[J].护理管理杂志,2012,12(12):882-883.
[4] 张忠兰.TIME OUT在手术安全核查中的应用[J].全科护理,2011,9(4):1092-1093.
[5] 孙 琳,韩小琴,狄开荣.急诊危重患者院内安全转运管理进展[J].护理管理杂志,2012,12(9):644-645.
[6] 谢晓梅.改良早期预警评分在急诊患者院内安全转运中的应用[J].护理研究,2010,24(7):1954-1955.
[7] Lahner D,Nikolic A,Marhofer P,et al.Incidence of complications in intrahospital transport    of critically ill patients-experience in an Austrian university hospital[J].Wien Klin Wochenschr,2007,119(13-14):412-416.
[8] Quenot JP,Milési C,Cravoisy A,et al.Intrahospital transport of critically ill patients(excluding newborns) recommendations of the Société de Réanimation de Langue Franaise(SRLF),the Société Franaise d’Anesthésie et de Réanimation(SFAR),and the Société Franaise de Médecine d’Urgence (SFMU)[J].Ann Intensive Care,2012,2(1):1.
[9] 王利维,周 立.急重症患者转运安全的研究进展[J].中华现代护理杂志,2011,17(2):242-244.
[10] Oglesby KJ,Durham L,Welch J,et al.‘Score to Door Time’,a benchmarking tool for rapid response systems:a pilot multi-enter service evaluation[J].Critical Care,2011,15(4):R180.
[11] 张小红,程宝珍.模式化护理在急诊危重病人安全转运中的应用[J].护理实践与研究,2012,9:76-78.
[12] 林平冬,颜小润,郑溪水,等.“优质护理服务示范工程”的实践与思考[J].东南国防医药,2012,14(3):255-257.
[13] 陶敬甫.急危重病人院内转运的护理[J].临床护理杂志,2012,11(2):37-39.

相似文献/References:

[1]杨 玭,花海明,曹志龙.严重多发伤院前急救与转运体会[J].医学研究与战创伤救治(原医学研究生学报),2014,16(06):637.[doi:10.3969/j.issn.1672-271X.2014.06.024]
[2]封晓燕,魏迎兵.安全核查表单在神经外科ICU重症患者院内转运中的应用[J].医学研究与战创伤救治(原医学研究生学报),2018,20(06):636.[doi:10.3969/j.issn.1672-271X.2018.06.018]

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2013-11-20