采用基于系统的模拟来提高重症监护病房患者转移过程中的患者安全性并保持效率

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-07-10 DOI:10.1016/j.ecns.2025.101773

Shari L. Casey MSN, RN, RNCNIC, CHSE , Rebecca DeBra MSN, RN, CHSE , Kristin M. Portaleos MSN, RN, RNCNIC , Beth Ann Johnson MD, MA

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引用次数: 0

摘要

一家拥有四级新生儿重症监护病房的独立儿童医院准备开设63.5万平方英尺的病房。利用模拟技术确保70名危重新生儿的安全运输。方法对主持人和利益相关者进行系统模拟（SFS）和汇报培训。移动模拟，代表患者的类型被移动和建议的路径到新的单位，被用来识别潜在的安全威胁。测试了参与者的建议，以完善最初的病人移动计划。结果：模拟结果强调了GE Shuttle隔离的ECMO患者和婴儿需要一个中路复苏空间和替代路径。其他调整包括更新紧急设备清单，包括药箱中的注射器，预先确定的患者的镇静可用性，以及额外的移动团队。结论我院新生儿重症监护室在6.5小时内将70例危重患者安全转移至CCB新址。病人的移动范围从呼吸室内空气的到极度不稳定的。没有病人需要复苏。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Employing systems-based simulation to increase patient safety and maintain efficiency during the transfer of NICU patients

Background

A free-standing Children’s Hospital with a Level IV NICU prepared to open a 635,000 sq. ft. critical care building (CCB) by using simulation to ensure the safe transport of 70 critically ill neonates.

Method

Facilitators and stakeholders were trained in Systems Focused Simulation (SFS) and Debriefing. A move simulation, representative of the types of patients to be moved and proposed pathways to the new unit, were utilized to identify latent safety threats. Suggestions from participants were tested to hone initial patient move plans.

Results

Simulation highlighted the need for a mid-route resuscitation space and alternate pathways for ECMO patients and babies in isolates with the GE Shuttle. Additional adjustments included updated checklists for emergency equipment, including syringes in the medication box, the availability of sedation for preidentified patients, and extra move teams.

Conclusion

Our NICU safely moved 70 critically ill patients to their new location in the CCB within 6.5 hours. Patients moved ranged from those on room air to critically unstable. No patients required resuscitation.

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.