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.