通过熟练人员运输带有通风的儿童的安全性:多中心前性研究
Masahiro Nozawa1, Noriyuki Kaku2, Naoki Shimizu3
1Shiga General Hospital, Moriyama, Shiga, Japan.
概括
熟练的儿科运输团队与不熟练的团队相比,在呼吸机上的重症儿童中显著减少了不良气道事件. 专业培训和经验对于安全地将患者转移到儿科重症监护室 (PICU) 是至关重要的.
科学领域:
- 儿童重症监护医疗
- 运输医学
- 患者安全
背景情况:
- 有效的机构间运输对于儿科重症监护室 (PICU) 患者的结果至关重要.
- 评估人员技能水平对儿童呼吸器患者的运输相关不良事件的影响.
研究的目的:
- 为了比较使用呼吸机的儿科患者在医院间运输过程中的不良事件率.
- 确定熟练与不熟练的运输人员是否会影响患者的安全结果.
主要方法:
- 在儿童患者 (< 16 岁) 的多中心前性观察队列研究.
- 运输人员的分类是熟练 (PICU/运输团队经验) 或不熟练.
- 对呼吸道不良事件,设备/药物使用和神经结果的调查.
主要成果:
- 熟练人员组 (n=171) 的呼吸道不良事件明显低 (9. 9%) 比不熟练人员组 (n=123, 26. 0%).
- 熟练的团队更频繁地使用潮尾二氧化碳监测器,热水交换器和先进的药物.
- 两组之间神经结果 (PCPC/ FSS分数) 没有显著差异.
结论:
- 儿童运输方面的专业培训和经验对于尽量减少不良事件至关重要.
- 开发配备熟练人员的运输系统对于将重症儿科患者整合到PICU至关重要.
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