风险管理在重型颅脑损伤患者院内转运中的应用

Application of risk management in intra-hospital transport of patients with severe craniocerebral injuries

目的观察风险管理在重型颅脑损伤患者院内转运中的应用效果。方法选取2018-01至2019-12滇南中心医院收治的80例重型颅脑损伤患者作为观察组,选取2016-01至2017-12滇南中心医院收治的80例重型颅脑损伤患者作为对照组。对照组采用常规转运管理,观察组在常规转运管理基础上采取风险管理,比较两组意外事件发生率、风险防范缺陷率、转运时间、科室间交接时间、检查等待时间和家属满意度。结果转运中观察组意外事件发生率、风险防范缺陷率均明显低于对照组,家属护理满意度明显高于对照组,差异均有统计学意义(P<0.05);观察组转运时间、科室间交接时间和检查等待时间均明显短于对照组,差异均有统计学意义(P<0.05)。结论在常规转运管理基础上应用风险管理,可降低重型颅脑损伤患者院内转运意外事件发生率和风险防范缺陷率,缩短转运时间、科室间交接时间和检查等待时间,及提高患者家属满意度的效果优于单纯常规转运管理效果。

Objective To observe application effects of risk management in intra-hospital transport of patients with severe craniocerebral injuries. Methods 80 patients with severe craniocerebral injuries treated in Diannan Central Hospital from January 2018 to December 2019 were selected as observation group, and 80 patients with severe craniocerebral injuries treated in the same hospital from January 2016 to December 2017 were selected as control group. The control group was given conventional transport management, while the observation group used the risk management on the basis of the conventional transport management. The accident rate, defect rate of risk prevention, transport time, hand-over time between departments, waiting time for inspection and family satisfaction were compared between the two groups. Results The accident rate and risk prevention defect rate of the observation group during transportation were significantly lower than those of the control group, the family members’ nursing satisfaction was significantly higher than that of the control group, and the differences were statistically significant(P<0.05). The transport time, hand-over time between departments and waiting time for inspection of the observation group were significantly shorter than those of the control group, and the differences were statistically significant(P<0.05). Conclusions The application of the risk management on the basis of the conventional transport management can reduce the accident rate and risk prevention defect rate, shorten the transport time, hand-over time between departments and waiting time for inspection, and improve the family members’ nursing satisfaction. Moreover, it is superior to simple conventional transport management.