在设施间运输过程中评估患者安全
Patricia Corniero1, Mònica Girona-Alarcón2, Carme Alejandre1
1Servicio de Emergencias Médicas Pediátricas, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain; Unidad de Cuidados Intensivos Pediátricos, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, Barcelona, Spain; Grupo de Investigación de Disfunción Inmunológica y Respiratoria en el Niño Crítico, Institut de Recerca Hospital Sant Joan de Déu, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain; Grupo de Estabilización y Transporte del Niño y Neonato Crítico de la Sociedad Española de Cuidados Intensivos Pediátricos (SECIP), Spain.
实施安全措施显著减少了儿科医院间运输期间的不良事件. 家庭在救护车中的存在并没有增加事件,改善了整体的患者护理质量和安全.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 患者安全研究的研究.
- 运输医学 运输医学
背景情况:
- 重症儿童的医院间运输带有不良事件 (AE) 和事故的风险.
- 这些事件可能会对患者的治疗结果产生负面影响.
- 评估运输安全并确定有助于改善护理的因素至关重要.
研究的目的:
- 为了识别儿科医院间运输期间的不良事件和事件.
- 评估实施的安全措施对运输相关事故的影响.
- 分析运输期间家庭的存在与事故发生之间的关联.
主要方法:
- 前性,观察性研究设计.
- 包括由专业运输团队转移的儿科患者.
- 两段时间 (安全措施实施前后) 的事件比较,并分析家庭的存在.
主要成果:
- 总共分析了1369项运输,其中20.7%发生了事故.
- 与第一期 (29.2%) 相比,在第二期 (12.0%) 观察到事件的显著减少,特别是临床事件 (5.1%对20.3%).
- 增加家庭在救护车中的存在 (82.6% vs 76.0%) 与更高的事故率无关.
结论:
- 由专业,安全训练有素的团队进行的儿科医院间运输导致事故最小.
- 实施患者安全措施有效减少了与运输有关的事故.
- 加强安全协议优化了运输期间重症儿科患者的护理质量.
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