基于预警评估结局的院内转运方案应用于急诊危急重症患者中的效果

Effect of In-hospital Transport Protocol based on Early Warning EvaluationOutcome on Emergency Patients with Critical Illness

目的探讨基于预警评估结局的院内转运方案在急诊危急重症患者院内转运中的应用效果。方法选择2023年6月-12月我院急诊危急重症患者900例,采用随机数字表法分为参考组和研究组,各450例。参考组实施传统院内转运护理,研究组实施基于预警评估结局的院内转运方案。观察两组转运效率、转运质量及转运途中不良事件发生情况,评估接收科室、家属对转运护理的满意度。结果研究组转运时间及急诊科滞留时间均短于参考组(P<0.05);研究组安全转运率及交接合格率均高于参考组(P<0.05);研究组转运途中不良事件总发生率低于参考组(P<0.05);研究组接收科室及患者家属的转运满意度均高于参考组(P<0.05)。结论基于预警评估结局的院内转运方案能够提高急诊危急重症患者院内转运效率和质量,减少转运途中不良事件,提高接收科室及家属的转运满意度。

Objective To investigate the effect of in-hospital transport scheme based on early warning evaluation outcome in emergency patients with critical illness.Methods A total of 900 emergency critical patients were selected from June to December 2023,and were divided into reference group(traditional in-hospital transport care)and study group(in-hospital transport scheme based on early warning evaluation outcome)by random number table method,450 cases each.The transport efficiency,transport quality and the occurrence of adverse events during transport were observed in the two groups,and the satisfaction of receiving departments and family members on transport nursing was assessed.Results Transport time and detention time of observation room in study group were shorter than those in reference group(P<0.05).The safe transport rate and pass rate of patients in the study group were higher than those in the reference group(P<0.05).The total incidence of adverse events during transport in the study group was lower than that in the reference group(P<0.05).The transport satisfaction scores of the receiving departments and patients'families in the study group were higher than those in the reference group(P<0.05).Conclusion The in-hospital transport scheme based on early warning evaluation outcome can improve the efficiency and quality of in-hospital transport of emergency critical patients,reduce adverse events during transport,and improve the transport satisfaction of receiving departments and family members.