Wang H E, Weaver M D, Abo B N, Kaliappan R, Fairbanks R J
Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, Philadelphia 15213, USA.
Qual Saf Health Care. 2009 Jun;18(3):213-6. doi: 10.1136/qshc.2007.024562.
Ambulance personnel use wheeled stretchers for moving patients in the out-of-hospital setting. The nature of adverse events and associated injuries occurring during ambulance stretcher operation was characterised.
Data from the United States Food and Drug Administration's Manufacturer and User Facility Device Experience Database (MAUDE) were used. All adverse events involving ambulance stretchers during the years 1996-2005 were identified. The nature of the event, the method of stretcher handling, the individuals injured and the nature of the resulting injuries were identified.
There were 671 reported adverse events. The most common adverse events were stretcher collapse (54%; 95% CI 50 to 57%), broken, missing or malfunctioning part (28%; 95% CI 25 to 32%) and dropped stretcher (7%; 95% CI 5 to 9%). Adverse events most commonly occurred during unloading of the stretcher from the ambulance (16%; 13 to 19%). Injuries occurred in 121 events (18%; 95% CI 15 to 21%), most often involving sprains/strains (29%), fractures (16%) and lacerations/avulsions (13%). There were three traumatic brain injuries and three deaths. Patients sustained injuries in 52 events (43%), and ambulance personnel sustained injuries in 64 events (53%). More than one individual sustained injuries in 12 events.
Adverse events may occur during ambulance stretcher operation and can result in significant injury to patients and ambulance personnel.
在院外环境中，救护人员使用轮式担架搬运患者。本研究描述了救护车担架操作过程中发生的不良事件及相关损伤的性质。
使用美国食品药品监督管理局的制造商和用户设施设备经验数据库（MAUDE）中的数据。识别出1996年至2005年期间所有涉及救护车担架的不良事件。确定事件的性质、担架处理方法、受伤人员以及由此造成的损伤性质。
共报告了671起不良事件。最常见的不良事件是担架坍塌（54%；95%置信区间50%至57%）、部件损坏、缺失或故障（28%；95%置信区间25%至32%）以及担架掉落（7%；95%置信区间5%至9%）。不良事件最常发生在将担架从救护车上卸下的过程中（16%；13%至19%）。121起事件中发生了损伤（18%；95%置信区间15%至21%），最常见的是扭伤/拉伤（29%）、骨折（16%）和撕裂伤/撕脱伤（13%）。有3例创伤性脑损伤和3例死亡。52起事件中患者受伤（43%），64起事件中救护人员受伤（53%）。12起事件中有不止一人受伤。
救护车担架操作过程中可能发生不良事件，并可能导致患者和救护人员受到严重伤害。
