标准化分级转运单在危重症患者院内安全转运中的应用

Effect of standardized graded transport sheet on intra-hospital transport safety of critically ill patients

目的探讨标准化分级转运单在急诊监护室危重症患者院内安全转运中的应用效果。方法将2017年1月至12月急诊监护室危重症院内转运患者217例设为对照组,将2018年1月至12月急诊监护室危重症院内转运患者228例设为试验组。对照组采用传统的转运方法及流程进行院内转运;试验组运用标准化分级转运单进行评估,根据评估结果安排对应转运医护人员及物资,确定转运时间。结果试验组患者转运至CT室、手术室、重症医学科以及普通病房的转运时间短于对照组,试验组患者不良事件发生率低于对照组,试验组患者对转运满意度高于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论将标准化分级转运单应用于危重患者院内安全转运中,能有效缩短危重患者院内转运时间,降低转运不良事件,确保危重患者的安全转运,提高患者的满意度,值得进一步推广和应用。

Objective To explore the application effect of standardized graded transport sheet on the transportation safety of critically ill patients in emergency intensive care unit(EICU).Methods A total of 217 EICU patients transported between January and December in 2017 were set as control group,while another 228 ones between January and December in 2018 as trial group.The control group was implemented with traditional transfer methods and procedures,while the trial group with standardized graded transfer sheet based on the traditional transfer methods.In the latter group,the corresponding medical personnel and materials were decided and the transfer time was set upon the assessment results.Results The average time for their transportation to CT room,operating room,critical medicine department and general ward in the trial group was significantly shorter than that in the control group,the incidence of adverse events in the trial group was significantly lower than that in the control group,and the transport satisfaction of patients in the trial group was also significantly higher than that in the control group(P<0.05).Conclusions The application of standardized graded transport sheet can effectively shorten the time for transportation of critically ill patients in hospitals,reduce adverse transport events,ensure their safety and improve patient satisfaction.It is significant for clinical application and generalization.