以质量求发展，以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (10): 17-23.doi: 10.16460/j.issn1008-9969.2021.10.017

Previous Articles     Next Articles

Application and Effect Evaluation of Graded Color Block Management Scheme in Nosocomial Transmission of Critically Ill Patients

WU Yi-tao, WANG Xiao-rong, PAN Wen-yan, LI Jing-jing, QIAN Chen   

  1. Surgical Intensive Care Unit, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China
  • Received:2020-12-16 Online:2021-05-25 Published:2021-06-09

PDF (PC)

199

Like

Abstract: Objective To implement a graded color block management scheme in nosocomial transmission of postoperative critically ill patients and evaluate the implementation effect. Methods This study was a non-randomized controlled trial. A total of 119 patients admitted from 1 to 31, August 2018 were enrolled as control group, and 135 ones from 1 to 30, November 2018 as experimental group. Routine nosocomial transmission mode was implemented in the control group, and a graded color block management scheme based on routine nosocomial transmission mode in the experimental group. The time taken for nosocomial transmission, preparation time for transport articles and the incidence of transmission-related events were observed and compared between the two groups. Results After implementing the graded color block management scheme, transmission time and preparation time for transport articles in the experimental group were significantly shorter than those in the control group, and the difference was statistically significant (P<0.05). The incidence of transport-related events decreased from 25.21% before the implementation to 5.19% after, and the difference was statistically significant (P<0.05). Conclusion The establishment and implementation of graded color block management scheme can reduce the risk of transmission, improve transmission efficiency, and provide basis for transmission homogenization management.

Key words: graded transport, postoperative critically ill patient, in-hospital transport

CLC Number: 

  • R473
[1] 中华医学会重症医学分会. 《中国重症患者转运指南(2010)》(草案)[J].中国危重病急救医学,2010,22(6):328-330. DOI:10.3760/cma.j.issn.1003-0603.2010.06.004.
[2] GillmanL,LeslieG,WilliamsT,et al. Adverse Events Experienced While Transferring the Critically ill Patient From the Emergency Department to the Intensive Care Unit[J]. Emerg Med J,2006,23(11):858-861.DOI:10.1136/emj.2006.037697.
[3] 李庆印,陈永强. 重症专科护理[M]. 北京:人民卫生出版社,2018.
[4] 钟娟,梁金清,袁丽秀. EICU病人院内转运并发症原因分析及护理对策[J]. 护士进修杂志, 2011, 26(17):1616-1618. DOI:10.3969/j.issn.1002-6975.2011.17.038.
[5] Jia L,Wang H,Gao Y,et al.High Incidence of Adverse Events during Intra-hospital Transport of Critically Ill Patients and New Related Risk Factors: A Prospective, Multicenter Study in China[J]. Crit Care, 2016, 20:12. DOI:10.1186/s13054-016-1183-y.
[6] Martin M, Cook F, Lobo D, et al.Secondary Insults and Adverse Events During Intrahospital Transport of Severe Traumatic Brain-injured Patients[J]. Neurocrit Care, 2017, 26(1):87-95. DOI:10.1007/s12028-016-0291-5.
[7] 岳磊于,石贞仙,吴慧,等. ICU患者在院内转运时血氧饱和度降低的影响因素分析[J]. 中华护理杂志, 2017, 52(12):1478-1482.DOI:10.3761/j.issn.0254-1769.2017.12.014.
[8] 急诊危重症患者院内转运共识专家组. 急诊危重症患者院内转运共识——标准化分级转运方案[J]. 中国急救医学,2017,37(6):481-485.DOI:10.3969/j.issn.1002-1949.2017.06.002.
[9] Weiner C, Kalichman L,Ribak J, et al.Repositioning a Passive Patient in Bed: Choosing an Ergonomically Advantageous Assistive Device[J]. Appl Ergon, 2017, 60:22-29. DOI:10.1016/j.apergo.2016.10.007.
[10] 李梅,曾妃,黄晓霞,等. 气悬浮转运垫在危重症患者搬运中的效果研究[J]. 中华急诊医学杂志, 2019, 28(5): 637-639. DOI:10.3760/cma.j.issn.1671-0282.2019.05.021.
[11] 李霞,张传来,郑秋兰. 基于分级转运模式的精细化管理在ICU病人院内安全转运中的应用[J].循证护理, 2020, 6(7):686-689.DOI:10.12102/j.issn.2095-8668.2020.07.016.
[12] 刘容,邱艳,李湖波,等. 标准化分级转运方案在急诊危重症患者院内转运中的应用及效果[J]. 中国实用护理杂志,2019,35(23):1798-1802.DOI:10.3760/cma.j.issn.1672-7088.2019.23.008.
[13] 史冬雷,张红梅,高健,等. 分级转运模式在急诊危重症患者院内转运中实施的效果评价[J].中国护理管理, 2016, 16(5):639-642.DOI:10.3969/j.issn.1672-1756.2016.05.016.
[14] 邵欣,韩媛媛,关欣. 优化ICU危重患者院内安全转运流程的实践探索[J]. 中国护理管理,2018,18(9):1245-1248. DOI:10.3969/j.issn.1672-1756.2018.09.020.
[15] 刘晓颖,高健,史冬雷. 急危重症患者标准化院内分级转运体系的实施与效果[J]. 中国护理管理, 2019, 19(3): 394-400. DOI:10.3969/j.issn.1672-1756.2019.03.014.
[16] 农玉荷,李壮江,奏科,等. 急危重症患者ECMO支持下院内转运的护理[J]. 护理学杂志, 2017, 32(8):36-37. DOI:10.3870/j.issn.1001-4152.2017.08.036.
[17] 徐丽群,李惠艳,韩玉香. 集束化管理策略在ICU患者院内转运安全管理中的效果分析[J]. 中国实用护理杂志, 2018,34(15):1154-1159.DOI:10.3760/cma.j.issn.1672-7088.2018.15.009.
[18] 李兴国. 分级转运模式在急诊危重症患者院内转运中的应用[J]. 齐鲁护理杂志,2018,24(3):47-49. DOI:10.3969/j.issn.1006-7256.2018.03.019.
[19] 梁红梅,王小琴,裴传凤,等. 危重症患者标准化分级院内转运方案的应用[J]. 护理学报, 2018, 25(21):16-18. DOI:10.16460/j.issn1008-9969.2018.21.016.
[20] 刘晁含,付沫,丁娟,等. 危重患者院内转运的最佳证据总结[J]. 护理学报, 2020,27(15): 33-38. DOI: 10.16460/j.issn1008-9969.2020.15.033.
[21] Brunsveld-Reinders AH, Arbous MS, Kuiper SG,et al.A Comprehensive Method to Develop a Checklist to Increase Safety of Intra-hospital Transport of Critically Ill patients[J]. Crit Care, 2015,19:214. DOI:10.1186/s13054-015-0938-1.
[22] Williams P, Karuppiah S, Greentree K, et al.A Checklist for Intrahospital Transport of Critically Ill Patients Improves compliance with Transportation Safety Guidelines[J]. Aust Crit Care, 2020, 33(1):20-24. DOI:10.1016/j.aucc.2019.02.004.
[23] 柏晓玲,逄锦,楼婷,等. 医联体内护理管理能力现状调查及对策研究[J]. 中华医院管理杂志, 2015(4):318-320. DOI:10.3760/cma.j.issn.1000-6672.2015.04.020.
[24] 侯军华,杨阳,朱梦晓. 同质化管理在一院多区护理质量监控中的效果评价[J]. 护理管理杂志, 2020,20(4):295-298. DOI:10.3969/j.issn.1671-315x.2020.04.016.
[25] 史冬雷,刘晓颖,高健. 急诊危重症患者院内转运共识的实施要点[J]. 中华急危重症护理杂志, 2020,1(1):11-16. DOI:10.3761/j.issn.2096-7446.2020.01.002.
[26] 石先荣,夏瑜,韩群,等. 区域医联体内基层医疗机构同质化护理质量管理实践[J].护理学杂志,2020,35(7):53-56. DOI:10.3870/j.issn.1001-4152.2020.07.053.
[1] LU Han, ZHAO Yuan, ZHU Xiao-Li, LIN Hui-xian, SHI Ting-ting. Effect of Transfer Scheme Based on Modified Early Warning Score for In-hospital Transportation of Critically-ill Patients：A Meta-analysis [J]. Journal of Nursing, 2021, 28(4): 19-25.
Viewed
Full text


Abstract

Cited
  Shared   
[1] WANG Ming-zhu,YAN Song-xu,LIN Yi-he,LU Jian,GONG Yu-mei,ZHANG Qian-tong,WANG Ye-kai. Therapeutic Effect of Cryoprecipitate on Radiogenic Oral Ulcer for Patients with Nasopharyngeal Carcinoma[J]. JOURNAL OF NURSING, 2012, 19(5): 45 -47 .
[2] PENG Xia,CHEN Li-li,LI ling,QIN Hui-ying. Relationship between Quality of Life and Coping Style of Ovarian Cancer Patients under Chemotherapy[J]. JOURNAL OF NURSING, 2012, 19(5): 76 -78 .
[3] XIA Ting-ting,WANG Shu-yun,YANG Fu-guo,MA Hui,YIN Chun-lan,WANG Guang-ning,FAN Hai-xia,LI Yao-yao. Association of Stoma Pressure with Hope Level and Self-management among Colostomy Patients[J]. Journal of Nursing, 2018, 25(18): 8 -11 .
[4] WANG Jing,LIU Rui-han,GONG Wen-hua,ZOU Yu,WANG Yu,WANG Fang. Mediating Effect of Self-efficacy between Social Support and Resilience in Type 2 Diabetic Patient[J]. Journal of Nursing, 2018, 25(18): 12 -15 .
[5] . [J]. Journal of Nursing, 2018, 25(18): 34 -36 .
[6] CHENG Fen, WANG Jing, ZENG Zhu, DENG Yong-hong, DONG Nian-guo, ZHAO Ya-nan. Perioperative Nursing for Patients with Transapical Aortic Valve Replacement: A 9-case Study[J]. Journal of Nursing, 2018, 25(19): 59 -61 .
[7] . [J]. Journal of Nursing, 2019, 26(13): 34 -37 .
[8] . [J]. Journal of Nursing, 2020, 27(12): 14 -17 .
[9] LU Shu-ying, LIU Ning, Wei Lu-hua, Liang Dong-mei, LI Yan. Best Evidence Summary Regarding Prevention and Management of Postpartum Hemorrhage[J]. Journal of Nursing, 2020, 27(12): 18 -22 .
[10] LIU Xiao-cheng, YING Wen-juan, LIU Zhi-li, ZHENG Rui-hua, XU Nuo, LIU Hui. Best Evidence Summary for Assessment of Sexuality and Intimacy Relationship for Patients with Terminal Stage[J]. Journal of Nursing, 2020, 27(12): 23 -27 .