多学科联动机制在危重患者跨院区转运中的临床应用研究

Clinical Application of Multidisciplinary Linkage Mechanism in Trans-Hospital Transport of Critically Ill Patients

目的分析多学科联动机制在危重症患者跨院区转运中的应用效果。方法选取2017年1月-2018年7月入住赣州市人民医院且需要进行跨院区转运的102例危重患者,按随机数字表法分成观察组和对照组,每组各51例。对照组按常规方式进行转运,观察组采用多学科联动机制进行转运。对比安全转运质量、医护满意度、转运不良事件发生率。结果观察组转运准备时间明显较对照组短(P <0. 05);观察组记录漏项、药品检查缺项、物品检查缺项发生率明显低于对照组(P <0. 05);观察组医患沟通、转运途中照护、转回医院处理得分明显高于对照组(P <0. 05);观察组转运前漏评、意外拔管、管道脱落或阻塞、仪器故障及NEWS≥4分发生率明显低于对照组(P <0. 05)。结论多学科联动机制能有效提高危重患者跨院区转运质量及降低转运不良事件发生率。

Objective To analyze the application effect of multidisciplinary linkage mechanism in the trans-hospital transport of critically ill patients. Methods 102 critically ill patients who were admitted to Cangzhou People’s Hospital from January to February 2018 in 2017 and needed to be trans-hospital trans-shipment were divided into observation group and control group according to the random number table method,with 51 cases in each group. The control group was transported in a conventional manner,and the observation group was transported using a multidisciplinary linkage mechanism. Compare the safety transfer quality,medical satisfaction,and the incidence of adverse events. Results The transit preparation time of the observation group was significantly shorter than that of the control group( P < 0. 05). The incidence of missing items,missing drug items,and missing items in the observation group was significantly lower than that of the control group( P < 0. 05). The scores of care during transit and transfer to hospital were significantly higher than those of the control group( P < 0. 05). The incidence of leakage assessment,accidental extubation,tube shedding or obstruction,instrument failure and NEWS≥4 scores in the observation group were significantly lower than those in the control group. Group( P < 0. 05).Conclusion The multidisciplinary linkage mechanism can effectively improve the transshipment quality of critically ill patients and reduce the incidence of adverse transport events.