Design and application of bedside tracheotomy checklist in ICU
10.3760/cma.j.issn.1674-2907.2017.20.016
- VernacularTitle:ICU床边气管切开查检单的设计与应用
- Author:
Meiqi ZHANG
1
;
Huiqin BU
;
Xiaoyue XU
;
Xiaoping SHEN
;
Mengsun LI
;
Hui LYU
Author Information
1. 嘉兴学院附属第一医院重症医学科
- Keywords:
Intensive Care Units;
Tracheotomy;
Checklist;
Design;
Application
- From:
Chinese Journal of Modern Nursing
2017;23(20):2638-2641
- CountryChina
- Language:Chinese
-
Abstract:
Objective To design the bedside tracheotomy checklist to improve the safety of operation.Methods According to the quality requirements of bedside tracheotomy and perioperative coordination, all the preparatory work and cooperation work in the duration had been summarized and enlist in the ICU bedside tracheotomy checklist. Patients who underwent bedside tracheotomy were enrolled in this study. Sixty-eight patients were evenly and randomly divided into observation group (using ICU bedside tracheotomy checklist) and control group (without the checklist), and each group with 34 cases. Observation and comparison of the two groups were conducted in the passing rate, the operation time and the satisfaction of nursing cooperation. Results The operation time in observation group was (10.94±1.92)min for bedside tracheotomy, while it was (15.00±3.95)min in the control group, and there was statistical significance between two groups (t =-5.383, P<0.01). The qualified rates for operation cooperation were 88.24% in observation group and 35.29% in the control group (χ2=20.176,P<0.01). The doctor's satisfaction was (3.88±0.33) score while nurse's was (3.94±0.24) in observation group, which all were higher than that of control group (t=4.672,5.652;P <0.05). Conclusions The use of ICU bedside tracheotomy checklist after bedside tracheotomy operation tends to make the process standardized, and to ensure the safety of patients, increasing the satisfaction of medical cooperation. It proves its feasibility in clinical practice.