Colyer Emily, Sorensen Megan, Wiggins Shirley, Struwe Leeza
Pediatric/Neonatal Critical Care Transport Team, Children's Hospital & Medical Center, Omaha, NE.
Pediatric/Neonatal Critical Care Transport Team, Children's Hospital & Medical Center, Omaha, NE.
Air Med J. 2018 May-Jun;37(3):186-198. doi: 10.1016/j.amj.2018.02.006. Epub 2018 Mar 22.
Specialty pediatric transport teams are widely used for pediatric interfacility transport in the United States, with little industry consensus on optimal team configuration. The aim of this study is to assess the quality of the nurse/paramedic specialty team configuration as indirectly measured by the rate of adverse events in these transports.
Retrospective analysis of pediatric transport data from a hospital-based dedicated pediatric/neonatal transport team was conducted for patients transported in 2016. Data were categorized by general characteristics of transport and analyzed for the occurrence of adverse events.
Five hundred sixty-four cases were analyzed. Cases were described by team configuration and then by transport mode, duration, time, patient age and acuity, and disposition. The overall rate of adverse event incidence was 8.3%, chiefly centered in device and process domains. There was no significant difference in the rate of adverse events between team configurations.
There was no significant difference in the rate of adverse event occurrence in nurse/paramedic team configurations versus nurse/nurse configuration. Using critical care paramedics on pediatric transport teams enables a larger volume of patients to be transported to definitive care without concerns for decrease in quality or safety.
在美国，儿科专科转运团队广泛用于儿科机构间转运，对于最佳团队配置几乎没有行业共识。本研究的目的是评估护士/护理人员专科团队配置的质量，通过这些转运中的不良事件发生率进行间接衡量。
对一家医院的专门儿科/新生儿转运团队2016年转运的患者的儿科转运数据进行回顾性分析。数据按转运的一般特征分类，并分析不良事件的发生情况。
分析了564例病例。病例先按团队配置描述，然后按转运方式、持续时间、时间、患者年龄和 acuity以及处置情况描述。不良事件发生率的总体比率为8.3%，主要集中在设备和流程领域。团队配置之间的不良事件发生率没有显著差异。
护士/护理人员团队配置与护士/护士配置的不良事件发生率没有显著差异。在儿科转运团队中使用重症护理人员能够将更多患者转运至确定性治疗，而无需担心质量或安全下降。
