预警分级管理在院内转运中的应用及效果评价

摘要

目的 通过对危重患者由病房至ICU院内转运的流程进行质量改进,从而提高转运质量.方法 首先成立项目团队,明确质量改进目标,分析病房至ICU的转运现状,发现转运问题,从病情、设备、转运人员3方面建立预警分级管理,再将预警分级管理方案运用于院内转运流程中并评价效果.结果 方案实施前后危重患者的性别、年龄、病情的比较,差异无统计学意义,实施后转运时间明显缩短(t=3.833,P＜0.001),不良事件的发生率减少(x2=7.909,P＜0.001).结论 预警分级管理方案的实施,可有效降低转运风险,提高转运效率和转运安全.%Objective Through conducting the project of quality improvement for intrahospital transport of critically ill patients from ward to ICU,to establish graded management under early warning to improve transport efficiency and quality.Methods Through setting up project team,setting goals of quality improvement,measuring and analyzing transport status,the graded management under early warning was established from three aspects:condition,equipment and transport personnel.The graded management under early warning was applied to clinical nursing practice to evaluate the effects.Results There was no statistical difference before and after the implementation of graded management under early warning in gender,age and condition of critical ill patients between two groups,but the time of transport was significantly reduced after the implementation,while there was no equipment failure,and the incidence of adverse events associated with devices decreased effectively.Conclusion The establishment and application of graded management under early warning has effectively reduced the risks of transport,improved efficiency and quality of transport.