Application and effect of standardized graded transport scheme in intrahospital transport of emergency critical patients
10.3760/cma.j.issn.1672-7088.2019.23.008
- VernacularTitle: 标准化分级转运方案在急诊危重症患者院内转运中的应用及效果
- Author:
Rong LIU
1
;
Yan QIU
;
Hubo LI
;
Xueying LIU
;
Yu SHEN
Author Information
1. Department of Outpatient, the People′s Hospital Of Leshan, Sichuan Province, Leshan 614000, China
- Publication Type:Journal Article
- Keywords:
Emergency;
Critically ill patients;
Grading;
Transport;
Safety;
Standardization management
- From:
Chinese Journal of Practical Nursing
2019;35(23):1798-1802
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of standardized grading transport scheme in intrahospital transport of emergency critical patients.
Methods:Selected a total of 1 425 critically ill patients from the emergency department in July 2017 - August 2018 as the research object, whom were transported by hospital for completing CT examination, transferring into Angiography Room or specialist ward, December 7, 586 cases of 2017 as control group, in August 1, 839 of 2018 as the observation group. Patients in the control group were transported by conventional transport, while patients in the observation group were transported by standardized graded transport scheme. The hospital transport time and adverse event incidence rates of patients in the two groups were compared.
Results:In the observation group, the time taken to complete CT examination, complete CT examination and transfer into angiography room, transfer into specialized wards, transfer into angiography room was respectively (25.70±2.94, 31.05±3.27, 20.04±2.54, 16.29±1.82) points, which was significantly different from (33.65±4.31, 37.12±4.16, 25.46±2.24, 20.20±2.17) points in the control group (t=16.665-26.709, P<0.01). Observation group of patients with nosocomial transhipment adverse events (a decrease in blood pressure, blood oxygen desaturation, accidental extubation, unobstructed intravenous drip, insufficient supply of oxygen, power insufficiency, the insufficient number of drugs and drug kinds) rates were 6.9% (58/839), 8.6% (72/839), 0.2% (2/839), 15.0% (126/839), 4.5% (38/839), 0.9% (8/839), 0.7% (6/839), 0, Significantly lower than the control group of 19.5% (114/586), 22.7% (133/586), 1.5% (9/586), 34.9% (205/586), 26.6% (156/586), 11.9% (70/586), 5.9% (35/586), 3.9% (23/586), the difference was statistically significant (χ2=31.950-106.173, P<0.01).
Conclusion:The standardized and graded transport scheme can fully warn patients of various risks in the course of intrahospital transportation, take effective preventive and control measures to ensure the safety of intrahospital transportation of emergency critical patients, and should be popularized.
