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目的:总结重症监护病人院内转运的护理管理措施,以保证院内转运的安全顺利。方法:回顾性分析2015年1月~2016年1月台州医院制定护理安全管理措施后,重症监护病房146例重症病人的院内转运情况,对整个转运环节进行总结分析,包括转运前准备、转运中监护、转运后护理,观察转运患者的不良事件发生情况以评价护理安全管理措施的效能。结果:制定并实施护理安全管理制度及措施后,患者安全转运率高达97.95%,总不良事件发生率为4.11%,未出现严重不良事件致转运终止。结论:转运前、转运中及转运后各环节加强重症监护病人院内转运护理安全管理,同时做好各环节间的无缝衔接是保证危重病人得以顺利安全转运的关键。
OBJECTIVE: To summarize the nursing management measures of nosocomial transfer in intensive care patients so as to ensure the safe and transshipment of nosocomial transport. Methods: A retrospective analysis was made on the in-hospital trans-shipment of 146 severe patients in intensive care unit after the development of nursing safety management measures in Taizhou Hospital from January 2015 to January 2016. The analysis of the whole transport links was made, including preparation for transit, transshipment Care, post-transport care, observation of the transport of adverse events occurred in patients to evaluate the effectiveness of nursing safety management measures. Results: After the establishment and implementation of nursing safety management system and measures, the safe transhipment rate of patients reached as high as 97.95% and the total incidence rate of adverse events was 4.11%. No serious adverse events resulted in the termination of transhipment. CONCLUSIONS: Intensifying the nursing management of ICU in intensive care patients before, during and after transport are the key to ensuring the smooth and safe transit of critically ill patients.