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提高院内转运的安全性和记录质量:为危重症患者开发院内转运工具。

Improving safety and documentation in intrahospital transport: development of an intrahospital transport tool for critically ill patients.

机构信息

Intensive Care Unit, Wellington Hospital, Capital & Coast District Health Board, Wellington, New Zealand.

出版信息

Intensive Crit Care Nurs. 2010 Apr;26(2):101-7. doi: 10.1016/j.iccn.2009.12.007. Epub 2010 Jan 20.

Abstract

Transporting the critically ill patient is described within the literature as a high-risk procedure. Both guidelines and minimum standards are available to inform practice. However, a practical, clinically useful, and evidence-based document (tool) for the ICU nurse to use when transporting a critically ill patient was not identified in the literature. Consequently, the development of an intrahospital transport tool is described. This transport tool was designed to mitigate the risks associated with patient transport by providing the Intensive Care Unit (ICU) nurse with an integrated documentation record, incorporating patient assessment with a procedural guideline. The result is a framework for the ICU nurse to use throughout intrahospital transfers, informing and supporting them to provide and document continuity of nursing care. The potential benefit of using this tool is enhanced patient outcomes through safer ICU intrahospital transport processes.

摘要

在文献中,转运危重症患者被描述为一项高风险的操作。有指南和最低标准可用于指导实践。然而,在文献中并未发现一种针对 ICU 护士在转运危重症患者时使用的实用、临床有用且基于证据的文件(工具)。因此,描述了一种院内转运工具的开发。该转运工具旨在通过为 ICU 护士提供整合的文档记录,将患者评估与操作指南相结合,从而减轻与患者转运相关的风险。其结果是为 ICU 护士提供了一个在院内转运过程中使用的框架,为他们提供并记录护理的连续性提供信息和支持。使用该工具的潜在益处是通过更安全的 ICU 院内转运流程提高患者的转归。

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