Application and effect of standardized graded transport scheme in intrahospital transport of emergency critical patients
Liu Rong, Qiu Yan, Li Hubo, Liu Xueying, Shen Yu
Published 2019-08-11
Cite as Chin J Prac Nurs, 2019,35(23): 1798-1802. DOI: 10.3760/cma.j.issn.1672-7088.2019.23.008
Abstract
ObjectiveTo explore the effect of standardized grading transport scheme in intrahospital transport of emergency critical patients.
MethodsSelected a total of 1 425 critically ill patients from the emergency department in July 2017 - August 2018 as the research object, whom were transported by hospital for completing CT examination, transferring into Angiography Room or specialist ward, December 7, 586 cases of 2017 as control group, in August 1, 839 of 2018 as the observation group. Patients in the control group were transported by conventional transport, while patients in the observation group were transported by standardized graded transport scheme. The hospital transport time and adverse event incidence rates of patients in the two groups were compared.
ResultsIn the observation group, the time taken to complete CT examination, complete CT examination and transfer into angiography room, transfer into specialized wards, transfer into angiography room was respectively (25.70±2.94, 31.05±3.27, 20.04±2.54, 16.29±1.82) points, which was significantly different from (33.65±4.31, 37.12±4.16, 25.46±2.24, 20.20±2.17) points in the control group (t=16.665-26.709, P<0.01). Observation group of patients with nosocomial transhipment adverse events (a decrease in blood pressure, blood oxygen desaturation, accidental extubation, unobstructed intravenous drip, insufficient supply of oxygen, power insufficiency, the insufficient number of drugs and drug kinds) rates were 6.9% (58/839), 8.6% (72/839), 0.2% (2/839), 15.0% (126/839), 4.5% (38/839), 0.9% (8/839), 0.7% (6/839), 0, Significantly lower than the control group of 19.5% (114/586), 22.7% (133/586), 1.5% (9/586), 34.9% (205/586), 26.6% (156/586), 11.9% (70/586), 5.9% (35/586), 3.9% (23/586), the difference was statistically significant (χ2=31.950-106.173, P<0.01).
ConclusionThe standardized and graded transport scheme can fully warn patients of various risks in the course of intrahospital transportation, take effective preventive and control measures to ensure the safety of intrahospital transportation of emergency critical patients, and should be popularized.
Key words:
Emergency; Critically ill patients; Grading; Transport; Safety; Standardization management
Contributor Information
Liu Rong
Department of Outpatient, the People′s Hospital Of Leshan, Sichuan Province, Leshan 614000, China
Qiu Yan
Li Hubo
Liu Xueying
Shen Yu
