Construction and application of an interhospital standardized transport scheme for patients supported by extracorporeal membrane oxygenation
10.3760/cma.j.cn115682-20211011-04568
- VernacularTitle:体外膜肺氧合支持患者院际标准化转运方案的构建与应用
- Author:
Xiaojuan CHEN
1
;
Wei ZHENG
;
Fuhua LI
;
Huili LYU
;
Xiaojun LIU
;
Lihua XING
;
Shaoyan QI
;
Feifei WANG
;
Huaixing LIU
;
Xiangke ZHAO
Author Information
1. 郑州大学第二附属医院护理部，郑州 450000
- Keywords:
Extracorporeal membrane oxygenation;
Interhospital transport;
Safety
- From:
Chinese Journal of Modern Nursing
2022;28(16):2173-2177
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an inter-hospital standardized transport scheme for patients supported by extracorporeal membrane oxygenation (ECMO) combined with modified early warning score (MEWS) and the transport checklist based on the theory of process reengineering.Methods:Through literature review, according to the actual situation of the Second Affiliated Hospital of Zhengzhou University, the MEWS scores and transport verification sheets were effectively combined to construct the inter-hospital standardized transport scheme for patients supported by extracorporeal membrane oxygenation. And according to the inter-hospital standardized transport scheme, the medical staff in the transport team were trained and assessed for ECMO patient transport knowledge. Using the convenient sampling method, a total of 223 ECMO patients admitted to the Second Affiliated Hospital of Zhengzhou University from January to December 2019 who were transported by conventional transport were selected as the control group. A total of 222 ECMO patients who were transported by the ECMO interhospital standardized transport scheme from January to December 2020 were selected as the observation group. This study Compared the incidence of adverse transport events in the two groups of and the transport knowledge of medical staff in the transport group before and after training.Results:The score of transport knowledge of ECMO patients of medical staff after training were higher than those before training, and the difference was statistically significant ( P<0.01) . The incidence of transport adverse events in the observation group was lower than that in the control group, and the difference was statistically significant ( P<0.05) . Conclusions:The standardized inter-hospital transport scheme for ECMO patients can form an efficient and safe standardized transport process, reduce the incidence of adverse transport events and improve the transport safety of ECMO patients.
