心血管危重症患者院内转运执行单的设计及应用研究

doi:10.3761/j.issn.2096-7446.2022.05.001

Abstract

Abstract: Objective To construct and apply intra-hospital transport checklist for critically ill cardiovascular patients to improve transport safety. Methods The preliminary draft of intra-hospital transport checklist for critically ill cardiovascular patients was developed based on literature review and semi-structured interviews,and the Delphi method was used to conduct 2 rounds of consultation with 12 experts,the final intra-hospital transport checklist for critically ill cardiovascular patients was formed. After evaluating the reliability and validity of the checklist,it was carried out in a cardiovascular surgical ward and a cardiovascular ward of a tertiary class A hospital in Zhejiang Province from September to December 2021. 67 cases of transport from September to October were regarded as control group,72 cases from November to December were experimental group. The experimental group used intra-hospital transport checklist for critically ill cardiovascular patients on the basis of routine transport,while the control group used routine transport nursing. The rate of adverse events and transport time were compared between the two groups. Results The response rate of the 2 rounds of expert consultation were 100%. Expert authority coefficients was 0.811 and 0.856. And expert coordination coefficients were 0.363 and 0.387（P<0.05）. Kappa value of each item ranged from 0.733 to 1.000, with average of 0.803（P<0.05）. The content validity index at the level of items ranged from 0.810 to 1.000, and the index of whole checklist was 0.912. The checklist contained 6 first-level indicators,22 second-level indicators,and 50 third-level indicators. After application of the checklist,the incidence of some disease/technology-related adverse events, the preparation time and transit time of experimental group were lower than those of control group（P<0.05）. Conclusion The construction of transport checklist was scientific and reliable. It can shorten the transport time,and is helpful for the effective implementation of the key link of transport,then improve transport safety.

Key words: Transportation of Patients, Cardiovascular Nursing, Critical Care Nursing, Forms and Records Control, Safety Management

FENG Jiehui, XU Jianning, ZHU Xujing, PAN Ying, SHENG Yunyun, YOU Aolin. Design and application of an intra-hospital transport checklist for critically ill cardiovascular patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022, 3(5): 389-395.

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Design and application of an intra-hospital transport checklist for critically ill cardiovascular patients

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