体外膜肺氧合治疗患者院际转运核查单的设计与应用

Design and application of checklist for interhospital transfer of patients undergoing extracorporeal membrane oxygenation therapy

目的设计体外膜肺氧合(ECMO)治疗患者院际转运核查单并应用于临床实践,保障患者转运安全。方法采用便利抽样法,选择2017年9月-2018年11月河南省人民医院重症医学科ECMO团队实施的院际转运危重患者27例为对照组,将2018年12月-2020年2月实施ECMO院际转运的危重患者14例设为试验组。基于相关文献及指南编制ECMO院际转运核查单,将核查单应用于试验组,比较两组患者不良事件的发生率。结果试验组不良事件发生率低于对照组,差异无统计学意义(χ^2=3.516,P=0.061)。结论使用ECMO院际转运核查单能够有效规范转运过程,提高工作效率及质量,可能降低转运风险,保证患者安全。

Objective To design a checklist for interhospital transfer of patients undergoing extracorporeal membrane oxygenation(ECMO)therapy and apply it in clinical practice to ensure the transfer safety of patients.Methods Using convenience sampling,27 cases of critically ill patients who were transported by the ECMO team of the Department of Critical Care Medicine of Henan Provincial People's Hospital from September 2017 to November 2018 were selected as the control group,and the ECMO interhospital transport was implemented from December 2018 to February 2020,14 cases of critically ill patients were set as the experimental group.The checklist for interhospital transfer of patients undergoing ECMO therapy was compiled based on relevant literature and guidelines,and applied to critically ill patients who were transported between hospitals under the support of ECMO.The incidence of adverse events between two groups was compared.Results The incidence of adverse events decreased after the application of the checklist,the difference was not statistically significant(χ^2=3.516,P=0.061).Conclusions The use of the ECMO interhospital transfer checklist can effectively standardize the transfer process,improve work efficiency and quality,may reduce transfer risks,and ensure patients'safety.