中医医院急危重症患者安全转运管理实践的应用与探讨  

Application of Management Measures to Ensure the Safety of Critical Patients during Transfer in Traditional Chinese Medicine Hospital

作　　者：谢超[1] 张明阳 肖莹 祝晓迎 Xie Chao;Zhang Ming yang;Xiao ying;Zhu Xiaoying(Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China)

机构地区：[1]重庆市中医院,重庆400021

出　　处：《中国中医急症》2024年第8期1481-1484,1491,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：重庆市2023年科卫联合中医药科研项目(2023MSXM155)。

摘　　要：目的探讨中医医院临床支持中心(简称中心)在急危重症患者安全转运中的管理实践,分析其管理模式、安全转运工作量及满意度,为促进急危重症患者安全转运提供参考依据。方法总结重庆市中医院临床支持中心近10年在危急重症患者安全转运工作中的管理经验,回顾性分析2015年1月至2023年12月重庆市中医院临床支持中心120急诊急救组、重症转运组转运患者工作量。采用随机抽样法,使用自行设计的问卷调查医院急诊科、重症监护室以及相关临床科室500名医务工作者对中心工勤人员参与急危重症患者安全转运的满意度。结果中心参与转运急危重症患者达到323499总人次,未发生管道脱落、跌倒、坠床等意外责任事件。满意度调查显示,医务工作者对中心工勤人员的工作能力满意度为98%,服务态度满意度为96%,工作效率满意度为95%,职业素养满意度为80%。结论临床支持中心在大型三甲中医医院急危重症患者转运中发挥重要作用,为减轻临床医务人员的工作压力、安全转运危急重症患者提供有力的保障,在提高医务人员满意度方面起到了积极作用。今后中心可从员工激励制度、针对性培训、信息化建设3方面出发,进一步促进持续质量改进。Objective:To discuss the management practices of the Clinical Support Center(CSC)in Traditional Chinese Medicine Hospital,focusing on the safe transfer of critically ill patients,and to analyze its management model,satisfaction and workload,so as to provide reference for promoting the safe transfer of critically ill patients.Methods:This paper summarized the management experience of the CSC of the Chongqing Traditional Chinese Medicine Hospital in the safe transfer of critically ill patients over the past decade.It retrospectively analyzed the workload of patient transfers by the Emergency and Critical Transfer Teams of the CSC from January 2015 to December 2023.Using a random sampling method,a self-designed questionnaire was administered to investigate the satisfaction of 500 healthcare professionals working in the emergency department,intensive care units,and related clinical departments regarding the involvement of the center′s staff in the safe transfer of critically ill patients.Results:The results showed that the center participated in the transfer of a total of 323499 critically ill patients without any incidents of tube dislodgement,falls,or bed falls.The satisfaction survey revealed that healthcare professionals had a 98%satisfaction rate with the work ability of the center′s staff,96%satisfaction with service attitude,95%satisfaction with work efficiency,and 80%satisfaction with professional conduct.Conclusion:The Clinical Support Center plays a significant role in the transfer of critically ill patients in large tertiary-level TCM hospitals,providing strong support for reducing the work pressure of clinical medical staff and ensuring the safe transfer of critically ill patients.It has positively contributed to improving the satisfaction of medical staff.In the future,the center can focus on employee incentive systems,targeted training,and information technology construction to further promote continuous quality improvement.

关 键 词：急危重症患者 中医院 安全转运 临床支持中心 

分 类 号：R197.4[医药卫生—卫生事业管理]