重症患者转运前核查程序的设计及应用研究  

Developing and applying a standardized check program for the intro-hospital transport of critically ill patients

作　　者：杨银玉 孙莉[2] 程慧玲 陈婷[4] 赵美玲 

机构地区：[1]解放军97医院护理部,江苏徐州221004 [2]解放军97医院急诊科,江苏徐州221004 [3]解放军97医院重症医学科,江苏徐州221004 [4]解放军97医院心胸外科,江苏徐州221004 [5]解放军97医院麻醉科,江苏徐州221004

出　　处：《东南国防医药》2013年第6期599-602,共4页Military Medical Journal of Southeast China

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。Objective To evaluate the effect of check program before transport on the quality of transport in critieally ill pa- tients. Methods We self-designed and applied a set of cheek program before transport for critically ill patients,then observed the trans- port of critically ill patients in our hospital. Totally 708 times were divided into control group and observe group according to odd or even umbers. In control group the staff completed the preparation before transport depending on their experienees, observe group according cheek program. Results In the observation group the incidences of adverse eygnts 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 earry was 100%. The degree of satisfaction of patients/familiality and transport staff with the quality of transport were 99.44%, 98.87%, respeetively Comparing with control group, they remarkably in- creased （ P 〈 0.01 ）. Conclusion A standardized cheek program for the intro-hospital transport of critically ill patients possesses feasibil- ity and efficiency. It could reduce the risk of transport, improve the transport efficiency.andensure the transport quality.

关 键 词：重症患者 转运 核查 程序 不良事件 

分 类 号：R473[医药卫生—护理学]