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目的 :分析多学科合作的流程管理应用于脑科危重患者院间转运的效果。方法 :成立脑科危重患者院间转运的流程管理小组,选择核心转运流程,制定核心流程图,各项工作按流程运行,比较流程管理运行前后出诊质量、转运过程中护理缺陷发生率以及患者家属满意度。结果 :实施流程管理后,脑科危重患者转运前期准备时间从(10.25±2.45)min降低到(6.24±2.56)min(P<0.001),转运途中护理缺陷发生率从23.3%降低到7.9%(P<0.001),患者家属满意度得到提高(P<0.001)。结论 :流程管理应用于脑科危重患者院间转运可规范、优质、高效完成转运任务,促进了转运质量持续改进,提高了患者家属满意度。
OBJECTIVE: To analyze the effectiveness of multidisciplinary collaborative workflow management in the management of intercostal transport in critically ill patients with brain diseases. Methods: To establish a process management team of hospital inter-hospital transportation of critically ill patients with brain diseases, to select the core transport process, to set the core flow chart, and to make the work run according to the process; to compare the quality of the pre-and post-operation management, the incidence of nursing defects, Satisfaction. Results: After the management of the procedure, the preparation time of the patients with critical brain injury decreased from (10.25 ± 2.45) min to (6.24 ± 2.56) min (P <0.001), and the incidence of nursing defects decreased from 23.3% to 7.9% P <0.001), and family satisfaction was improved (P <0.001). CONCLUSION: The application of process management to the nocturnal transmission of NS in critically ill patients can accomplish the trans-shipment tasks in a standardized, high-quality and high-efficiency manner, which has promoted the continuous improvement of transport quality and improved the satisfaction of patients’ families.