Smith I, Fleming S, Cernaianu A
Department of Anesthesia, Cooper Hospital/University Medical Center, Camden, NJ 08103.
Crit Care Med. 1990 Mar;18(3):278-81. doi: 10.1097/00003246-199003000-00006.
We undertook a prospective study of 125 intrahospital patient transports from the ICU in an attempt to identify any factors that could influence the occurrence of mishaps. One third of the transports sustained at least one mishap. Therapeutic intervention scoring system class IV transports had the highest rate of mishaps (35%). We found no relationship of occurrence of mishaps to severity of illness (Acute Physiology and Chronic Health Evaluation, APACHE II), number of lines, monitoring and support modalities, and time out of the ICU. Transports for elective procedures had more mishaps (60%) than occurred for emergencies (40%). Most mishaps occurred either during the procedure, on transports to CT scan, or while waiting at the destination. The numbers and types of escorts as defined by our ICU policy and physician attendance on transport did not clearly reduce mishap risk. Morbidity and mortality were not affected by mishaps. Although certain trends did emerge, no clearly defined predictive factor could be identified. Further study into transport mishaps is warranted.
我们对125例从重症监护病房（ICU）进行的院内患者转运进行了一项前瞻性研究，试图确定任何可能影响事故发生的因素。三分之一的转运至少发生了一次事故。治疗干预评分系统IV级转运的事故发生率最高（35%）。我们发现事故的发生与疾病严重程度（急性生理与慢性健康评估，APACHE II）、管路数量、监测和支持方式以及离开ICU的时间无关。择期手术转运的事故（60%）比急诊转运（40%）更多。大多数事故发生在操作过程中、转运至CT扫描时或在目的地等待时。根据我们ICU的政策定义的护送人员数量和类型以及转运时医生的陪同，并没有明显降低事故风险。发病率和死亡率不受事故影响。虽然确实出现了某些趋势，但无法确定明确的预测因素。有必要对转运事故进行进一步研究。
