在转移到新的重症监护病房期间多次院内转运。

Irish Journal of Medical Science (1971 -) Pub Date : 2017-11-01 Epub Date: 2016-11-07 DOI:10.1007/s11845-016-1528-1
R-A O'Leary, I Conrick-Martin, C O'Loughlin, M-R Curran, B Marsh
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引用次数: 0

摘要

目的:危重病人院内转运(IHT)与发病率和死亡率相关。病人的质量转移,如单位移位所发生的,描述得很少。我们概述的过程和不良事件相关的搬迁重症监护病房。设计:广泛规划搬迁目标患者和设备转移,减少事件发生前的临床压力和搬迁阶段的患者护理。环境:该环境是一个拥有30张床位的三级转诊综合内科和外科重症监护病房,位于一家拥有570张床位的医院内,该医院是全国心胸外科和脊柱损伤转诊中心。与会者:参与了与危重监护病房搬迁有关的所有利益攸关方,包括护理和医务人员、搬运工、信息技术服务人员、实验室工作人员、项目开发经理、药房工作人员和建筑承包商。主要结局指标:重症监护病房出院死亡率和出院死亡率是主要结局指标。前瞻性地记录了大范围的不良事件,以及转移时间。结果:21例患者接受了IHT,中位转移时间为10分钟。2例转移因设备故障而复杂,3例患者出现低血压需要干预。没有中心静脉或动脉导管或气管内管移位的病例,30天住院死亡率为14%。结论:尽管IHT与发病率和死亡率相关,但仔细的后勤规划可以实现低并发症率的有效转移。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multiple intra-hospital transports during relocation to a new critical care unit.

Objective: Intra-hospital transport (IHT) of critically ill patients is associated with morbidity and mortality. Mass transfer of patients, as happens with unit relocation, is poorly described. We outline the process and adverse events associated with the relocation of a critical care unit.

Design: Extensive planning of the relocation targeted patient and equipment transfer, reduction in clinical pressure prior to the event and patient care during the relocation phase.

Setting: The setting was a 30-bed, tertiary referral, combined medical and surgical critical care unit, located in a 570-bed hospital that serves as the national referral centre for cardiothoracic surgery and spinal injuries.

Participants: All stakeholders relevant to the critical care unit relocation were involved, including nursing and medical staff, porters, information technology services, laboratory staff, project development managers, pharmacy staff and building contractors.

Main outcome measures: Mortality at discharge from critical care unit and discharge from hospital were the main outcome measures. A wide range of adverse events were prospectively recorded, as were transfer times.

Results: Twenty-one patients underwent IHT, with a median transfer time of 10 min. Two transfers were complicated by equipment failure and three patients experienced an episode of hypotension requiring intervention. There were no cases of central venous or arterial catheter or endotracheal tube dislodgement, and hospital mortality at 30 days was 14%.

Conclusion: Although IHT is associated with morbidity and mortality, careful logistical planning allows for efficient transfer with low complication rates.

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