急诊危重患者院内转运过程不良事件发生情况及其相关因素分析  

Analysis of Adverse Events and Related Factors During In-hospital Transport of Emergency Critical Patients

作　　者：刘冬连 钟芬梅[1] 湛薇[1] LIU Donglian;ZHONG Fenmei;ZHAN Wei(Ganzhou People’s Hospital,Jiangxi Province,Ganzhou 341000,China;不详)

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国医学创新》2022年第9期122-126,共5页Medical Innovation of China

摘　　要：目的:探讨急诊危重患者院内转运过程不良事件发生情况及其相关因素。方法:回顾性分析2019年2月-2021年2月赣州市人民医院急诊监护室与急诊抢救室救治的162例危重患者临床资料,分析急诊危重患者院内转运过程不良事件发生情况及其相关危险因素。结果:162例急诊危重患者中院内转运过程不良事件发生率为25.31%(41/162),转运设备方面不良事件发生率最高,发生率为14.20%;单因素分析显示:责任护士工作年限、呼吸系统疾病、携带氧气袋、转运总用时与急诊危重患者院内转运过程不良事件有关,差异均有统计学意义(P<0.05);责任护士性别、职称和患者年龄、性别、机械通气、输注血管活性药物、意识状态、早期预警评分(NEWS)评分、其他疾病类型与急诊危重患者院内转运过程不良事件无关,差异均无统计学意义(P>0.05);多因素分析显示:责任护士工作年限<6年[OR=2.913,95%CI(1.314,6.460)]、呼吸系统疾病[OR=2.210,95%CI(1.064,4.589)]、携带氧气袋[OR=4.546,95%CI(2.105,9.816)]、转运总用时≥60 min[OR=7.617,95%CI(3.375,17.190)]是急诊危重患者院内转运过程不良事件的高危因素(P<0.05)。结论:急诊危重患者院内转运过程不良事件发生率较高,多见于转运设备方面。责任护士工作年限、呼吸系统疾病、携带氧气袋、转运总用时与院内转运过程不良事件发生密切相关。Objective:To investigate the occurrence of adverse events and related factors during in-hospital transport of emergency critical patients.Method:The clinical data of 162 critically ill patients treated in the emergency care unit and emergency rescue room of Ganzhou People’s Hospital from February 2019 to February 2021 were retrospectively analyzed,and the occurrence of adverse events and related risk factors during in-hospital transport of emergency critically ill patients were analyzed.Result:The incidence of adverse events during the transfer process in 162 emergency critical patients was 25.31% (41/162),and the incidence of adverse events in transport equipment was the highest,with an incidence rate of 14.20%;univariate analysis showed that working seniority of responsible nurses,respiratory system diseases,carrying oxygen bags and total transport time were related to the adverse events of emergency and critically ill patients in the hospital transport process,and the differences were statistically significant (P<0.05);the responsible nurse’s gender,job title and patient’s age,gender,mechanical ventilation,infusion of vasoactive drugs,consciousness,national early warning score (NEWS) score,other disease types were not related to the adverse events of emergency critical patients during the hospital transport process,the differences were not statistically significant (P>0.05);multivariate analysis showed that the working seniority of the responsible nurse <6 years[OR=2.913,95%CI (1.314,6.460)],respiratory diseases[OR=2.210,95%CI (1.064,4.589)],carrying oxygen bag[OR=4.546,95%CI (2.105,9.816)]and total transit time ≥60 min[OR=7.617,95%CI (3.375,17.190)]were high-risk factors for adverse events during the in-hospital transportation of critically ill patients in emergency department (P<0.05).Conclusion:The incidence of adverse events during the in-hospital transport of critically ill patients is relatively high,and they are more common in transport equipment.The working seniority of the responsible nurse,re

关 键 词：急诊危重患者 院内转运 不良事件 转运用时 

分 类 号：R472.2[医药卫生—急诊医学]