首页|神经外科重症患者院内检查标准化转运方案的构建与实施

神经外科重症患者院内检查标准化转运方案的构建与实施

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目的 以校正改良早期预警评分(MEWS)和转运核查单为基础建立神经外科重症患者院内检查标准化分级转运模式,并观察临床应用效果.方法 选取2022年1-6月某三级甲等综合医院神经外科重症监护室行院内检查转运的656例患者为研究对象,其中,2022年1-3月的321例患者为对照组,实行常规转运;2022年4-6月的335例患者为观察组,实施标准化分级转运模式,转运前使用校正MEWS对患者进行病情分级、使用转运核查单做好患者转运前准备工作,根据病情分级配备转运人员及设备.比较两组患者转运时长及转运相关不良事件发生率.结果 标准化分级转运模式下,观察组患者CT、CTA、MRI 3 项检查各自所用的转运时间及总转运时间短于对照组,组间比较差异有统计学意义(P<0.05).观察组患者转运不良事件发生率低于对照组,组间比较差异有统计学意义(P<0.05).结论 基于校正MEWS和转运核查单的标准化分级转运模式可提高转运效率,降低转运风险,保障患者转运安全.
Construction and implementation of a standardized transport plan for in-hospital examination of neurosurgical patients with severe neurosurgery
Objective To establish a standardized grading transport model for in-hospital examination of neurosurgical patients with severe neurosurgery based on corrected modified early warning score(MEWS)and transport checklist,and to observe the clinical application effect.Methods 656 patients who underwent in-hospital inspection and transportation in the intensive care unit of the neurosurgery department of a Grade Ⅲ Class A comprehensive hospital from January to June 2022 were selected as the study subjects.Among them,321 patients in the control group from January to March 2022 were treated with routine transportation,335 patients in the observation group from April to June 2022 were treated with standardized graded transportation mode.Before transportation,patients were graded by using calibrated MEWS,patients were prepared for transportation using a transfer checklist,and transfer personnel and equipment were assigned according to the disease grading.The length of transport and the incidence of transport-related adverse events were compared between the two groups.Results In the standardized graded transport mode,the CT,CTA,and MRI transport time of the patients in the observation group was shorter than that of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of transport adverse events in the observation group was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The standardized tiered transport model based on corrected MEWS and transport checklist can improve transport efficiency,reduce transport risk,and ensure patient transport safety.

NeurosurgeryCritical careMEWS scoreGraded transportTransport checklistPatient safety

王玉果、苏微微、王鲁繁、周亭亭、侯辉辉、墨婷婷

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滨州医学院附属医院(山东省滨州市,256600)

神经外科 重症监护室 改良早期预警评分 分级转运 转运核查单 患者安全

山东省自然科学基金滨州医学院附属医院护理部"培优项目"科研项目

ZR2018LH007BYFYHLB-PY202208

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(6)
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