期刊文献+

急诊危重患者院内转运的潜在风险及防范措施探讨 被引量:9

Potential Risks and Precautions of Emergency in Critically Ill Patients Hospital Transport
下载PDF
导出
摘要 目的对急诊危重患者院内转运的潜在风险及防范措施进行探讨。方法分析我院急诊科2011年3月至2011年6月院内转运的108例危重患者的临床资料并设为对照组,该组采用常规的转运护理,2012年3月1日至2012年6月1日转运的120例急诊危重患者设为观察组,该组实施安全转运护理,比较两组患者在院内转运过程中发生意外的情况及不满意程度。结果通过分析比较,观察组的意外发生率显著低于对照组(P<0.05),转运过程中的不满意程度观察组明显高于对照组(P<0.01),差异均有统计学意义。结论在转运前对危重患者进行全面的评估风险及利益,在转运过程中实时进行监护及观察,到达相关科室对患者的初步诊断及相关情况进行详细的交接及记录,包括医师之间和护士之间的交接。在转运过程中进行安全的护理对危重患者的预后及减少并发症的发生是关键。 Objective Emergency critically ill patients with nosocomial transit potential risks and preventive measures were discussed. Methods Analysis of our hospital emergency department in March 2011 to June 2011 in the transport of the clinical data of 108 cases of critically ill patients and set as control group, The group with normal transport nursing, on March 1, 2012 to June 1, 2012 transfer of 120 emergency critically ill patients as observation group, the group, safe transport nursing. Compare two groups of patients in the hospital the case of an accident during the transfer process and no satisfaction. Result Through comparative analysis, observation group accidental incidence was significantly lower than the control group (P 〈 0.05), no satisfaction in the process of transshipment observation group is significantly higher than control group (P 〈 0.01), difference have statistical significance. Conelusion In front of the transporter in critically ill patients with a comprehensive assessment of the risks and benefits, care and observation in real time in transit to reach the relevant sections of the patient's initial diagnosis and detailed handover and records, including between physicians and nurses between the handover. In the transport process safe nursing care for the prognosis of critically ill patients and reduce the occurrence of complications is the key.
出处 《中国医药指南》 2013年第20期11-12,共2页 Guide of China Medicine
关键词 危重患者 院内转运 风险 防范措施 Critically ill patients Hospital transporter Risk Precautions
  • 相关文献

参考文献6

二级参考文献62

  • 1卢勇,苏磊,秦伟毅,贾乐宁,周伟梁,杨靓,张智慧.危重病人院内转运的探讨[J].中国急救医学,2005,25(6):457-458. 被引量:118
  • 2许乐芬,张丽,刘岱,赵静.介绍一种急诊患者护理记录交接单[J].中华护理杂志,2006,41(2):112-112. 被引量:30
  • 3Evans A, Winslow EH. Oxygen saturation and hemodynamic response in crytically ILL, mechanically ventilated adults during intra-hospital transportA[J] .J Criti Care, 1995, 15(4):106.
  • 4Marianne Chulay, AACN handbook of critical care nursing[M]. Appleton & Schuster Company, 1997:223.
  • 5Benoit F, Cyril M, Olivier B, et al. Recommendations for the intra - hospital transport of critically ill patients [J]. Critical Care, 2010, 14 (87) : 1-10.
  • 6Lovell MA,Mudaliar MY,Klineberg PL.Intrahospital transport ofcritically ill patients:complications and difficulties[J].AnaesthIntensive Care,2001,29(4):400-405.
  • 7Chulay M,Guzzetta C,Dossey B.AACN Handbook of Critical CareNursing[M].Columbus:McGraw-Hill/Appleton&Lange,1997:223.
  • 8Day MW.Transport of the critically ill:the Northwest MedStarexperience[J].Crit Care Nurs Clin North Am,2005,17(2):183-190.
  • 9李红丽,邵力伟,刘国红.急危重病人转运的护理风险及管理对策[J].护士进修杂志,2007,22(16):1469-1471. 被引量:79
  • 10崔焱.护理学基础[M].北京:人民卫生出版社,2002.401-404.

共引文献140

同被引文献98

  • 1陈一峰.752例危重患者院内转运经验总结[J].中国医药导刊,2013,15(S1):296-297. 被引量:2
  • 2张继荣,张继英,魏晓燕.急诊科危重患者院内转运的危险因素及防范对策[J].医院管理,2011,18(11):127-128.
  • 3刘瑛.急诊危重患者院内转运安全性的现状及进展[J].解放军医学杂志,2009,26(9A):40-42.
  • 4韩瑾琪,何晴.危重患者转运的危险因素及防范措施[J].基础医学论坛,2007,11(7):660-661.
  • 5Lahner D,Nikolic A,Marhofer P,et al.Incidence of complications in intrahospital transport of critically ill patients:experience in an Austrian university hospital[J].Wien Klin Wochenschr,2007,119(13-14):412.
  • 6Fast M,Newton S.Assessment of pain in the transport environment:areview of the literature[J].J Emerg Nurs,2008,34(4):301.
  • 7Smith I,Flemming S,Cernaianu A.Mishaps during transport from the intensive care unit[J].Critical Care Medicine,1990,18(3):278.
  • 8Beckmann U,Gillies DM,Berenholtz SM,et al.Incidents relating to the intrahospital transfer of critically ill patients[J].Intens Care Med,2004,30(8):1579.
  • 9Bambi S.The risk of intrahospital transport to patients[J].Critical Care Nurse,2010,30(6):14.
  • 10Lovell MA,Mudaliar MY,Klineberg PL.Intrahospital transport of critically ill patients:Complications and difficulties[J].Anaesth Intensive Care,2001,29(4):400.

引证文献9

二级引证文献59

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部