Article type
Abstract
Abstract
Background The transport safety of critically ill patients has always been a hot topic for domestic and foreign scholars. In 2018, the National Health and Family Planning Commission proposed the task of establishing "five major centers" in secondary and above medical institutions (chest pain center, stroke center, trauma center, critical maternal treatment center, critical children and newborn treatment center), which put forward higher quality requirements for the hospital transport of critically ill patients. The risk of in-hospital transport exists in critically ill patients. The overall incidence of transport-related adverse events and the incidence of serious adverse events have been reported to be 21.2%-67.9% and 4.2%-9.1%. In recent years, transport guidelines and expert consensus have been established at home and abroad from different angles, involving the clinical practice of critically ill patient transport, the lack of a specific, unified evidence-based implementation plan based on China's national conditions.
Objective Applying the best evidence of intra-hospital transport of critical patients to clinical practice, improving nurses' compliance with the application of evidence of practice, improving patients' clinical outcomes, and reducing adverse events of intra-hospital transport of critical patients.
Method By searching the relevant evidence of intra-hospital transport of critically ill patients in domestic and foreign databases, we included a total of 15 references, including 5 guidelines, 5 systematic reviews, 2 evidence summaries, 2 expert consensus and recommendations, and 1 clinical decision support. We used the Australian Joanna Briggs Institute Practical Application of Clinical Evidence System to apply the best practice evidence to the intra-hospital transport of critically ill patients in our hospital, and compared the incidence of adverse events in critically ill patients before and after application.
Result After the application of the best evidence, the total incidence of adverse events during the intra-hospital transport of critically ill patients decreased from 33.86% to 7.62%, the difference was statistically significant(P<0.05).
Conclusion The clinical application of the best evidence can improve the safety of intra-hospital transportation of critically ill patients and effectively reduce the risk of intra-hospital transportation of critically ill patients.
Background The transport safety of critically ill patients has always been a hot topic for domestic and foreign scholars. In 2018, the National Health and Family Planning Commission proposed the task of establishing "five major centers" in secondary and above medical institutions (chest pain center, stroke center, trauma center, critical maternal treatment center, critical children and newborn treatment center), which put forward higher quality requirements for the hospital transport of critically ill patients. The risk of in-hospital transport exists in critically ill patients. The overall incidence of transport-related adverse events and the incidence of serious adverse events have been reported to be 21.2%-67.9% and 4.2%-9.1%. In recent years, transport guidelines and expert consensus have been established at home and abroad from different angles, involving the clinical practice of critically ill patient transport, the lack of a specific, unified evidence-based implementation plan based on China's national conditions.
Objective Applying the best evidence of intra-hospital transport of critical patients to clinical practice, improving nurses' compliance with the application of evidence of practice, improving patients' clinical outcomes, and reducing adverse events of intra-hospital transport of critical patients.
Method By searching the relevant evidence of intra-hospital transport of critically ill patients in domestic and foreign databases, we included a total of 15 references, including 5 guidelines, 5 systematic reviews, 2 evidence summaries, 2 expert consensus and recommendations, and 1 clinical decision support. We used the Australian Joanna Briggs Institute Practical Application of Clinical Evidence System to apply the best practice evidence to the intra-hospital transport of critically ill patients in our hospital, and compared the incidence of adverse events in critically ill patients before and after application.
Result After the application of the best evidence, the total incidence of adverse events during the intra-hospital transport of critically ill patients decreased from 33.86% to 7.62%, the difference was statistically significant(P<0.05).
Conclusion The clinical application of the best evidence can improve the safety of intra-hospital transportation of critically ill patients and effectively reduce the risk of intra-hospital transportation of critically ill patients.