探讨分级转运对急诊危重症院内转运患者不良事件发生率的影响

Effect of Graded Transport on the Incidence of Adverse Events in Emergency Critical Transported Patients

目的:探讨分级转运对急诊危重症院内转运患者不良事件发生率的影响。方法:回顾分析2018年6月—2019年12月于河南科技大学第一附属医院急诊科转入专科病房或介入室患者198例,2018年6月—2019年2月常规转运的95例患者为对照组,2019年3月—2019年12月分级转运的103例患者为观察组。比较两组院内转运用时、不良事件发生率。结果:干预后,观察组由急诊科转运至手术室、介入室、CT/MRI检查、专科病房所用时间均短于对照组,观察组因病情、转运人员、仪器、药物导致不良事件率分别为2.91%、4.85%、3.88%、1.94%,低于对照组的11.58%、14.74%、13.68%、13.68%,差异有统计学意义(P<0.05)。结论:分级转运能够减少急诊危重症院内转运患者转运时间,有效降低因病情、转运人员等各种原因导致的不良事件发生率。

Objective:To investigate the effect of graded transportation on the incidence of adverse events in emergency critical patients.Methods:From June 2018 to December 2019,198 patients who were transferred to the hospital were retrospectively analyzed.95 patients with routine transfer from June 2018 to February 2019 were selected as the control group,and 103 patients with graded transfer from March to December 2019 were selected as the observation group.The incidence of adverse events was compared between the two groups.Results:After the intervention,the time taken for the observation group to be transferred from the emergency department to the operating room,intervention room,CT/MRI examination and special ward was shorter than that of the control group.The adverse event rates of the observation group caused by the condition,transport personnel,instruments and drugs were 2.91%,4.85%,3.88%and 1.94%respectively,which were lower than those of the control group(11.58%,14.74%,13.68%,13.68%,P<0.05).Conclusion:Graded transfer can reduce the transfer time of emergency critically ill patients in hospital,and effectively reduce the incidence of adverse events caused by various reasons,such as disease condition and transport personnel.