急危重症患者院内安全转运路径的建立与实施  

Intra-hospital transfer of critically ill patients: establishment and implementation of transfer pathway

作　　者：许晓萍[1] 陈毅文[2] 陈艺延[1] 

机构地区：[1]厦门市第二医院急诊科,福建厦门361021 [2]厦门市第二医院护理部,福建厦门361021

出　　处：《护理学杂志》2012年第7期11-14,共4页

摘　　要：目的探讨急危重症患者院内安全转运临床路径实施的效果,以全面提高急危重患者院内转运的安全。方法将2009年1～12月从急诊科转送的609例危急重症患者设为对照组;2010年1～12月的759例危急重症患者设为观察组。对照组采用常规方法转运;观察组在建立安全转运路径后,按安全转运路径实施,流程包括转运前风险评估、转运前准备、转运前联络与协调;转运中监护与急救;转运后交接等措施。结果两组不良事件发生率、接收科室满意率比较,差异有统计学意义(P<0.05,P<0.01)。结论实施急危重患者院内安全转运路径能转变急诊科医护人员的观念,加强转运途中病情观察与监护,减少不良事件的发生,提收科室满意率,保证患者的生命安全。Objective To evaluate the effect of a pathway for intrahospital transfer of critically ill patients, and to improve patient safety. Methods From January to December 2009, 609 critically ill patients who were transferred out of the emergency department were selected as the control group, and 759 patients admitted from January to December 2010 were treated as the observation group. The control group were subjected to conventional transfer; patients in the observation group were transferred according to the transfer pathway including following processes： risk assessment, preparation, and communication and coordination before transfer; monitoring and first aid during transfer; handover after transfer. Results The incidence of adverse events, satisfaction rate of departments which accepted patients had significant differences between the two groups （P〈0.05,P〈0.01）. Conclusion Imple- ment of pathway for intrahospital transfer of critically ill patients can change concept of emergency medical personnel, strengthen observation and monitoring during transfer, reduce adverse events, improve satisfaction of departments which receive patients, and ensure safety of patients.

关 键 词：危急重症患者 安全转运 临床护理路径 

分 类 号：R47[医药卫生—护理学] R197.323[医药卫生—临床医学]