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目的:探讨临床路径在急诊危重症患者院内转运中的临床应用效果。方法:将2010年1～7月行院内转运急诊危重症患者153例设为对照组,按照常规院内转运方式进行;将2010年8月～2011年1月同类患者142例设为实验组,采取院内安全转运临床路径,比较两组转运途中意外发生率、接收科室满意率和转运病死率。结果:实验组意外发生率低于对照组(P<0.01),而接收科室满意率高于对照组(P<0.01);两组均未发生死亡。结论:急诊危重症患者临床转运路径不仅能有效降低转运意外发生率和转运病死率,同时也能有效提高接收科室满意率,进一步提高院内转运安全性,值得临床推广应用。
Objective: To investigate the clinical application of clinical pathway in the emergency hospitalization of critically ill patients. Methods: From January to July 2010, 153 emergency critically ill patients transfused in the hospital were set as the control group according to the conventional intra-hospital transport mode. 142 patients of the same type from August 2010 to January 2011 were selected as the experimental group, Hospital safe transit clinical pathways, compared with the two groups during the accidental transshipment, receiving department satisfaction and transport mortality. Results: The accidental incidence of experimental group was lower than that of control group (P <0.01), while that of receiving department was higher than that of control group (P <0.01). No death occurred in both groups. Conclusion: The clinical pathway of emergency critical patients can not only effectively reduce the incidence of unintended transportation and mortality, but also improve the satisfaction rate of receiving departments and further improve the safety of intra-hospital transportation, which is worthy of clinical application.