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目的:探讨改变危重患者转运流程对转运过程安全的影响。方法:回顾性分析2012年9月~2015年12月从ICU转送至病房的562例危重患者的临床病例资料,将其中采用传统转出流程的138例设为对照组,采用改进转出流程的424例设为观察组,比较两组患者并发症的发生率及患者和家属的满意度情况。结果:观察组在转运过程当中发生气管插管移位、引流管脱出、氧气枕用光、呼吸困难、心跳呼吸骤停等并发症明显低于对照组(P<0.01),患者及家属的满意度明显提高。结论:改变危重患者转出流程,采用转接双方科室协作共同转运的方式,大大降低了转运时间及转运过程并发症的发生,提高了患者及家属的满意度。
Objective: To explore the impact of changing the transport process of critically ill patients on the safety of transport process. Methods: The clinical data of 562 critically ill patients transferred from the ICU to the ward from September 2012 to December 2015 were retrospectively analyzed. Among them, 138 cases in which the traditional procedure was transferred were used as the control group, 424 cases were set as the observation group, the incidence of complications in both groups and the satisfaction of patients and their families were compared. Results: The complications such as tracheal intubation, drainage of the drainage tube, exhaustion of oxygen pillow, difficulty breathing and cardiac arrest and respiration during observation period in the observation group were significantly lower than those in the control group (P <0.01), patients and their families were satisfied Degree significantly improved. CONCLUSIONS: Changing the procedure of transferring patients out of critically ill patients and using the coordinated transfer between departments of the two departments greatly reduce the complications of transit time and transshipment, and improve the satisfaction of patients and their families.