转运单在院内危重患者转运中应用成效分析  

Application of the transfer statement in inhouse transfer of critical patients

作　　者：万林[1] 施素华[1] 黄榕[1] 孔悦[1] 范家莉 程玉红[1] 殷婷婷[1] 

机构地区：[1]解放军第一七四医院血液净化中心,厦门361001

出　　处：《中华医院管理杂志》2017年第3期225-228,共4页Chinese Journal of Hospital Administration

摘　　要：目的探讨转运单在院内危重患者转运中的应用效果。方法采用连续入组方法，对照组纳入危重患者123例，实施常规转运；观察组纳入危重患者111例，应用转运单实施转运，比较两组不良事件的发生率、转运时间及护士间合作水平。结果对照组不良事件发生率为13.8%，平均转运时间为（19.5±8.4）min，护士间合作水平为（101.87±7.13）分；观察组不良事件发生率为5.4%，平均转运时间为（13.5±5.4）min，护士间合作水平为（106.15±8.86）分。应用转运单后，不良事件发生率减少（P〈0.05），转运时间明显缩短（t＝3.833，P〈0.01），护士间的合作水平显著提升（t=-4.261，P〈0.05）。结论应用转运单可提升危重患者转运安全，提高护士间组织协调性及转运效率。Objective To evaluate the use of transfer statements in inhouse transport of critical patients. Methods By means of continuous enrollment, 123 critical patients were enrolled as a control group for conventional transport, and 111 such patients were enrolled as an observation group for transport using the transfer statement. Then the incidence of adverse events, transport during and nurse-nurse collaboration level of the two groups were compared. Results In the control group, its incidence of adverse events was 13.8% ,the mean transport during was （ 19. 5 -±8.4）minutes,and the mean score for nurse-nurse collaboration level was （101.87 ±7. 13）. In the observation group, its incidence of adverse events was 5.4% ,the mean transport during was （13.5 ± 5.4 ）minutes, and the mean score for nurse-nurse collaboration level was（ 106. 15 ±8. 86）. Implementing the transfer statement has cut back the incidence of adverse events （ P 〈 0. 05 ） and the transport duration significantly （ t = 3. 833, P 〈 0. 01 ）, while improving the level of nurse- nurse cooperation significantly（t = -4. 261 ,P 〈 0. 05 ）. Conclusions The transfer statement can increase the safety of patient transport, promote organization and coordination of nurses, and improve the efficiency of transport.

关 键 词：转运单 危重患者 院内转运 效果 

分 类 号：R47[医药卫生—护理学]