确定理想的重症监护转运包的共识。
A consensus to determine the ideal critical care transfer bag.
作者信息
Van Zwanenberg Gezz, Dransfield Melissa, Juneja Rohit
机构信息
North West London Critical Care Network, London, UK.
Imperial College NHS Healthcare Trust, London, UK.
出版信息
J Intensive Care Soc. 2016 Nov;17(4):332-340. doi: 10.1177/1751143716658912. Epub 2016 Jul 14.
BACKGROUND
Familiarity with environment, processes and equipment reduces the risk inherently associated with critical care transfers. Therefore, the North West London Critical Care Network decided to create a standardised ideal transfer bag and contents to improve patient safety.
METHODS
A four-round modified Delphi survey developed a condensed and clinically tested content list. An expert panel then designed an ideal transfer bag based on agreed important principles.
RESULTS
Participants completed two rounds of an electronic survey. Round 3 comprised an expert clinical panel review, while round 4 tested the contents over 50 clinical transfers. The prototype bag's design was adjusted after clinical use and feedback.
DISCUSSION
This project has introduced a standardised critical care transfer bag across our network. A similar technique could be used for other healthcare regions. Alternatively, the above critical care transfer bag could be adopted or adapted for regional use by clinicians.
背景
熟悉环境、流程和设备可降低重症监护转运过程中固有的风险。因此，伦敦西北部重症监护网络决定制作一个标准化的理想转运包及其所含物品，以提高患者安全。
方法
通过四轮改良德尔菲调查制定了一份精简且经过临床测试的物品清单。然后，一个专家小组根据商定的重要原则设计了一个理想的转运包。
结果
参与者完成了两轮电子调查。第三轮包括专家临床小组审查，而第四轮在50多次临床转运中对物品进行了测试。临床使用和反馈后对原型包的设计进行了调整。
讨论
该项目在我们的网络中引入了标准化的重症监护转运包。类似的技术可用于其他医疗区域。或者，上述重症监护转运包可被临床医生采用或调整后用于区域使用。
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