确定重症监护病房患者转移过程中不良事件及其相关危险因素之间的关系

Mahdi Asadiyan, M. Heidari, Hamid Reza Dolatkhah
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引用次数: 0

摘要

导读:将危重病人转到重症监护病房主要是为了进行诊断和治疗,这可能与不良事件有关。本研究的目的是确定ICU患者转院过程中不良事件发生率及其相关危险因素之间的关系。材料与方法:在这项描述性横断面研究中,通过6个月期间的不良事件清单收集患者数据。采用SPSS (version 22)软件对数据进行描述性统计和分析性统计。结果:536例(91.2%)患者发生不良事件。与患者相关、与工作人员相关和与设备相关的不良事件发生率分别为65.5%、73.3%和7.8%。男性不良事件发生率高于女性(P= 0.035)。卒中转移不良事件发生率(51.9%)显著高于其他方法(P<0.001)。ICU组不良事件发生率显著高于CCU组(P= 0.001)。不良事件的发生与使用氧气瓶(P<0.001)、心电监护仪(P=0.047)、便携式呼吸机(P=0.004)、脉搏血氧仪(P<0.001)、床边栏杆(P<0.001)等设备有统计学意义。结论:不良事件发生率较高。组织必须在转型过程中识别并积极应对风险。使用与数据传输相关的清单和通信工具可以提高传输的质量和安全性。
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Determining the relationship between adverse events and their associated risk factors in the transfer of patients from intensive care units
Introduction: Transfer of critically ill patients admitted to intensive care units mainly for the purpose of performing diagnostic and therapeutic procedures can be associated with adverse events. The purpose of this study was to determine the relationship between the incidence of adverse events and its associated risk factors during the transfer of ICU Patients. Material & Methods: In this descriptive cross-sectional study, patient data were collected through a checklist of adverse events over a 6-month period. The data were analyzed by descriptive and analytical statistics using SPSS software (version 22). Results: 536 patients (91.2%) had adverse events. The incidence of patient-related, staff-related, and equipmentrelated adverse events was 65.5%, 73.3%, and 7.8%, respectively. The incidence of adverse events was higher in men than women (P= 0.035). The incidence of adverse events in stroke transfer (51.9%) was significantly higher than other methods (P<0.001). Incidence of adverse events in ICU was significantly higher than CCU (P= 0.001). There was a statistically significant correlation between the occurrence of adverse events and the presence of equipment such as oxygen cylinder (P<0.001), cardiac monitor (P=0.047), portable ventilator (P=0.004), pulse oximeter (P<0.001) and bedside railing (P<0.001). Conclusion: The results showed that the incidence of adverse events was high. Organizations must identify and actively address risks during the transition. The use of checklists and communication tools related to data transfer can improve the quality and safety of transfer.
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