Kalisch B J, Kalisch P A, Burns S M, Kocan M J, Prendergast V
University of Michigan School of Nursing, Ann Arbor 48109, USA.
J Neurosci Nurs. 1995 Apr;27(2):69-77. doi: 10.1097/01376517-199504000-00003.
Neuroscience intensive care unit (NICU) patients are frequently transported out of the critical care environment for diagnostic and interventional procedures. Four hundred and seventy-one such transports from seventeen clinical centers were studied to identify the characteristics of intrahospital transport. Data collected included the destination and duration of transport, number and type of personnel involved, changes in monitoring and treatment during transport, adverse patient responses and the impact on patients left in the unit. Differences between transports characterized as elective or emergent in nature were noted. Results validate that intrahospital transport of NICU patients is both time and labor intensive. The study also suggests that the optimal process for safe and efficient transport is yet to be designed.
神经科学重症监护病房(NICU)的患者经常被转运出重症监护环境,以便进行诊断和介入程序。对来自17个临床中心的471次此类转运进行了研究,以确定院内转运的特征。收集的数据包括转运目的地和持续时间、参与人员的数量和类型、转运期间监测和治疗的变化、患者的不良反应以及对留在病房的患者的影响。记录了性质上被归类为择期或急诊的转运之间的差异。结果证实,NICU患者的院内转运既耗费时间又耗费人力。该研究还表明,安全高效转运的最佳流程尚未设计出来。