分级转运模式在急诊危重症患者院内转运中实施的效果评价  

Application of hierarchical transport mode in the intra-hospital transport of critically ill patients in emergency department

作　　者：史冬雷[1] 张红梅[2] 高健[1] 华小雪[1] 贾征[1] 侯镔芮[1] 朱槿[1] 胡英莉[1] 

机构地区：[1]北京协和医院急诊科,100730 [2]北京协和医院护理部,100730

出　　处：《中国护理管理》2016年第5期639-642,共4页Chinese Nursing Management

摘　　要：目的:构建并实施危重症患者分级转运模式,评价该模式的实施效果,为急诊危重症患者的院内转运提供安全的转运模式。方法:采用便利抽样法,选取2015年1-3月从急诊抢救室转运的358例危重症患者设为对照组,2015年7-9月的360例危重症患者设为实验组。对照组采用常规方法转运,实验组实施分级转运模式,转运前通过转运评估对患者病情进行分级,分为Ⅰ、Ⅱ、Ⅲ级,转运人员、转运仪器设备和药品根据病情进行分级准备。结果:实施分级转运模式后,实验组转运至CT室、重症监护病房、介入室和手术室的时间短于对照组,差异具有统计学意义(P<0.05),转运至普通病房时间两组无统计学差异(P>0.05);实验组不良事件发生率明显下降,其中,与病情相关的不良事件发生率下降为2.8%(χ2=6.19,P<0.05);与转运人员相关的不良事件发生率下降为7.2%(χ2=4.94,P<0.05);与仪器设备和药品相关的不良事件发生率下降为3.9%(χ2=5.27,P<0.05)。结论:实施分级转运模式减少了转运不良事件的发生,缩短了转运时间,保证了危重症患者的转运安全。Objective： To evaluate the hierarchical transport mode to improve the safety and feasibility of the intra- hospital transportation in critically ill patients, and to ensure the safety of critically ill patients. Methods： In the study, patients in the control group were treated with routine transportation method. In experimental group, the hierarchical mode of transportation was implemented, which includes the assessment on the patient＇s condition before transportation, classification of the patient＇s condition, transport personnel, transport equipment and medicines according to the condition of their grades. Results： The transit time of experimental group is shorter than the control group in the transit to the CT. And the difference in intensive care unit, the intervention room and the operation room time were statistically significant （P〈0.05）. However, the transmit time to the general ward did not show significant difference between the two groups （P〉0.05）. Compared to the control group, the incidence rate of adverse events in the experimental group has significantly decreased. The incidence rate of adverse events related to the disease was 2.8% （ x 2=6.19, P〈0.05）, to the transferring persons was 7.2% （ x 2=4.94, P〈0.05）, and to the equipment was 3.9% （ x 2=5.27, P〈0.05）. Conclusion： The hierarchical transport mode can reduce the incidence rate of adverse events. The safety of transport could be ensured and the transit time could be shorted by the hierarchical transport mode.

关 键 词：分级转运模式 急诊危重症患者 院内转运 

分 类 号：R47[医药卫生—护理学]