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目的通过对危重症患者院内转运的风险评估,制订出相应的防控措施,保证患者的安全。方法通过观察急诊科危重症患者在转运过程中的风险进行评估,而后制订出不同的防控措施,并组织实施,分析对比防控措施方案实施前后患者转运时的安全质量管理。防控措施方案实施前2016年5、6、7月份共转运危重症患者850人;防控措施方案实施后8、9、10月份共转运危重症患者1 096人。结果防控措施方案实施后患者满意度为94%,未出现医疗安全不良事件。防控措施方案实施前患者满意度为86%;出现相关不良事件3例。结论在危重症患者转运过程中,只有对患者存在的不安全因素进行全面准确的评估,对患者有可能出现的风险进行预见性的分析,制订出全面切实可行的护理措施,才能增加了患者转运途中的安全指数,保证患者的安全。
Objective To assess the risk of nocturnal transit in critically ill patients and draw up corresponding prevention and control measures to ensure the safety of patients. Methods By observing the risk of emergency patients in the transport process of risk assessment, and then develop different prevention and control measures, and organize the implementation of analysis and comparison of prevention and control measures before and after the implementation of the program during the transport of patients safety and quality management. Preventive measures Before the implementation of the program in May 2016, June and July, a total of 850 people were critically ill; prevention and control measures were implemented in September, October and October, a total of 1 096 critically ill patients. Results The patient satisfaction was 94% after the prevention and control measures were implemented, and no medical safety adverse events occurred. The patient satisfaction was 86% before the prevention and control program was implemented; 3 cases were related to the adverse events. Conclusion In the process of transport of critically ill patients, only through comprehensive and accurate assessment of the patient’s unsafe factors, predictive analysis of the possible risks to patients, to develop a comprehensive and practical care measures, in order to increase the patient’s transit The safety index on the way to ensure patient safety.