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从急诊和 ICU 护士的角度评估危重症患者院内转科的安全状况:伊朗的一项横断面研究。

Evaluation of the safety status of intrahospital transfer of critically ill patients from the perspective of emergency and ICU nurses: a cross-sectional study in Iran.

机构信息

Department of Emergency Nursing, Ardabil University of Medical Sciences, Ardebil, Iran (the Islamic Republic of).

Department of Emergency Nursing, Ardabil University of Medical Sciences, Ardebil, Iran (the Islamic Republic of)

出版信息

BMJ Open. 2023 Oct 24;13(10):e072584. doi: 10.1136/bmjopen-2023-072584.

Abstract

OBJECTIVE

Critically ill patients often require intrahospital transfer (IHT) for diagnostic and therapeutic procedures. However, this process carries potential risks and can harm the patient's safety. This study aimed to assess the safety of IHT for critically ill patients by gathering feedback from emergency and intensive care unit (ICU) nurses.

DESIGN

A cross-sectional study.

SETTING

A study was conducted in Ardabil City, Iran's educational and medical hospitals. The study involved 288 emergency and ICU nurses. The data were collected through a paper-based form, which included demographic and work-related characteristics and an IHT safety scale.

RESULTS

The mean score of IHT was 75.2±15.53. The results of multiple regression analysis showed that work experience (B=0.291, p=0.011), perception of IHT safety (B=0.196, p=0.003), education level (B=-0.123, p=0.038) and equipment checker (B=-0.121, p=0.045), variables were the predictors of IHT safety.

CONCLUSION

The study found that the safety level during the interhospital transfer (IHT) was low. Hospitals aim to create a safe environment that minimises the risks associated with IHT. Therefore, they must identify potential risks during the transfer process and take necessary measures to mitigate them. Practical strategies that can be employed include using experienced nursing staff, conducting equipment checks, ensuring a complete understanding of the tools and technologies involved in the transfer process, and increasing awareness of IHT safety.

摘要

目的

危重症患者常需院内转运(IHT)以接受诊断和治疗操作。然而,这一过程存在潜在风险,可能危害患者安全。本研究旨在通过收集急诊和重症监护病房(ICU)护士的反馈来评估危重症患者 IHT 的安全性。

设计

横断面研究。

地点

伊朗阿瓦士市教育和医疗医院。研究纳入 288 名急诊和 ICU 护士。通过纸质表格收集数据,内容包括人口统计学和工作相关特征以及 IHT 安全性量表。

结果

IHT 的平均得分为 75.2±15.53。多因素回归分析结果显示,工作经验(B=0.291,p=0.011)、对 IHT 安全性的感知(B=0.196,p=0.003)、教育水平(B=-0.123,p=0.038)和设备检查者(B=-0.121,p=0.045)是 IHT 安全性的预测因素。

结论

本研究发现,院内转运(IHT)期间的安全水平较低。医院旨在创造安全的环境,将 IHT 相关风险降至最低。因此,医院必须在转运过程中识别潜在风险,并采取必要措施加以缓解。可采用的实用策略包括使用经验丰富的护理人员、进行设备检查、确保全面了解转运过程中涉及的工具和技术,以及提高对 IHT 安全性的认识。

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