基于信息化的急诊转运交接单“霸屏提示”模式在急危重症患者院内转运中的应用  

The application effect of the"dominant screen prompt"mode of emergency transfer handover list in the intrahospital transfer of critically ill patients

作　　者：臧鑫 李春娟 丁蓉 张月鑫 李立果 ZANG Xin;LI Chunjuan;DING Rong;ZHANG Yuexin;LI Liguo(Emergency Department,Yancheng No.1 People′s Hospital,Yancheng 224001,China;Nursing Department,Yancheng No.1 People′s Hospital,Yancheng 224001,China;Emergency Intensive Care Unit,Yancheng No.1 People′s Hospital,Yancheng 224001,China;Information Science,Yancheng No.1 People′s Hospital,Yancheng 224001,China)

机构地区：[1]盐城市第一人民医院急诊科,江苏盐城224001 [2]盐城市第一人民医院护理部,江苏盐城224001 [3]盐城市第一人民医院急诊重症监护室,江苏盐城224001 [4]盐城市第一人民医院信息科,江苏盐城224001

出　　处：《中国临床护理》2025年第2期84-87,共4页Chinese Clinical Nursing

摘　　要：目的 探讨急诊转运交接单“霸屏提示”模式在急危重症患者院内转运中的应用效果。方法 将2023年7-12月盐城市第一人民医院北院区急诊抢救室收治的100例急危重症院内转运患者设为对照组,将2024年1-6月同院区急诊抢救室收治的100例急危重症院内转运患者设为观察组。对照组以无提示的电子转运交接单进行转运交接,观察组采用电子转运交接单“霸屏提示”模式进行转运交接。比较两组目标科室用物准备情况、床旁交接时间、转运交接质量。结果 观察组目标科室患者用物准备时间及床旁交接时间均短于对照组(t=30.223,P<0.001;t=147.174,P<0.001);目标科室患者用物准备完整率及交接质量均高于对照组(χ2=6.640,P=0.010;t=-20.888,P<0.001)。结论 急诊转运交接单“霸屏提示”模式在急诊危重症患者院内转运交接中的应用,完善了目标科室用物准备情况,缩短了床旁交接时间,提高了转运交接质量,实现了患者信息在急诊抢救室-病房的无缝交接,有利于保障患者安全。Objective To explore the application effect of the"dominant screen prompt"mode of emergency transfer handover list in the intrahospital transfer of critically ill patients.Methods A total of 100 critically ill patients transferred from the emergency department of the Yancheng No.1 People′s hospital in the second half of 2023 were selected into a control group,while another 100 critically ill patients transferred from the same hospital area in the first half of 2024 were chosen into an observation group.The control group was transferred using electronic handover lists without prompts,while the observation group was transferred using the"dominant screen prompt"mode of the electronic transfer handover system.The time for the target department to prepare items for patients,bedside handover time and the quality of transfer handover were compared between the two groups.Results The time for the target department to prepare items for patients and bedside handover in the observation group were significantly shorter than that of the control group(t=30.223,P<0.001;t=147.174,P<0.001),while the completeness rate of items preparation and the quality of handover were significantly higher than the latter(χ2=6.640,P=0.010;t=-20.888,P<0.001).Conclusion The new mode has improved the preparation of items in the target department,shortened bedside handover time,and improved the quality of transfer handover.It achieves seamless handover of patient information between the emergency department and wards,which is conducive to ensuring patient safety.

关 键 词：急诊科 院内转运 交接单 “霸屏提示”模式 信息化护理 

分 类 号：R47[医药卫生—护理学]