重型颅脑损伤患者院内转运风险循证及前馈控制

Evidence-based feed-forward control of risks in intrahospital transport of patients with severe brain injury

目的探讨运用循证理论的前馈控制在重型颅脑损伤患者院内转运风险管理中的应用效果。方法选取2016年7月—12月常规转运的98例患者为对照组,选取2017年1月—6月实施前馈控制转运措施的102例患者为观察组。比较2组转运意外事件发生率、风险隐患防范缺陷率。结果观察组转运意外事件发生率、风险隐患防范缺陷率均低于对照组(P<0.05)。结论对重型颅脑损伤患者院内转运实施前馈措施,能有效提高医护风险管理意识,降低转运意外事件发生率和风险隐患防范缺陷率,提高患者转运的安全性,保障患者安全。

Objective To evaluate the evidence-based feed-forward control in risk management of intrahospital transport of patients with severe brain injury.Methods The evidence-based feed-forward control was carried out to reduce the risk in intrahospital transport of patients with severe brain injury.Totally 98 patients routinely transported between July,2016 and December,2016 were selected as the control group,and another 102 patients transported under the feed-forward control between January,2017 and June 2017 were selected as the observation group.The incidence of transport accidents and the defect rate of risk prevention were observed and compared between two groups.Results The incidence of transport accidents and the defect rate of preventive measures were lower in the observation than those in the control group(P<0.05).Conclusion The implementation of evidence-based feed-forward measures can effectively raise the consciousness of medical risk management,reduce the risk of transport accidents and defects in prevention of hidden hazards,improve the safety of intrahospital transport of patients with severe brain injury.