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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (6): 15-19.doi: 10.16460/j.issn1008-9969.2022.06.015

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Construction and Evaluation of Safety Management Project for Unplanned ICU Readmission

MI Yuan-yuan1,2, HUANG Hai-yan1, CHEN Hui1, CHEN Han-zhen1, MING Yao-hui1, NIE Tao1   

  1. 1. Dept. of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
    2. College of Public Health ,Zhengzhou University ,Zhengzhou 450001, China
  • Received:2021-03-23 Online:2022-03-25 Published:2022-04-08

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Abstract: Objective To explore the feasibility and application of safety management project of unplanned readmission to ICU in severe patients. Methods With convenience sampling method, 1,241 patients meeting the inclusion criteria from January to December 2019 were included into control group and 1,082 patients from January to November 2020 in experimental group. Routine nursing care was implemented in the control group, while safety management project for unplanned ICU readmission was conducted in the experimental group. The rate of unplanned ICU readmission, the causes of ICU readmission and the average length of stay in ICU in the two groups were compared. Results The rate of unplanned ICU readmission in the experimental group was significantly lower than that in the control group(P<0.05). The average length of stay in ICU in the experimental group was shorter than that in the control group(P<0.05). There were less patients readmitted to ICU due to hypoxia (P<0.05) and no patients readmitted to ICU due to CO2 retention, heart failure, hypotension, and electrolyte in the experimental group (P>0.05). Comparison of the number of patients readmitted to ICU due to gastrointestinal bleeding in the two groups indicated no statistical significance (P>0.05). There were more patients in the experimental group readmitted to ICU due to aspiration and hypoglycemia but no statistical significance was found (P>0.05). Conclusion With lower ICU readmission rates and shorter average length of stay in ICU, it is feasible and effective to implement the safety management project of unplanned readmission to ICU in severe patients.

Key words: intensive care, readimission rate, nursing management, nursing safety

CLC Number: 

  • R459.7
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