分级色块管理方案在危重症患者院内转运中的应用及效果评价

目的 在危重症患者院内转运中实施分级色块管理方案,并评价该方案的实施效果。方法 采用非同期对照试验,将2018年8月1—31日入住的119例患者设为对照组,2018年11月1—30日入住的135例患者设为观察组。对照组采用常规院内转运方式,观察组在对照组的基础上,建立并实施分级色块管理方案。观察比较2组危重症患者术后院内转运所用时间、转运物品准备时间和转运相关事件发生率等指标的差异。结果 实施分级色块管理方案后,观察组患者院内转运时间和转运物品准备时间均较对照组明显缩短,差异具有统计学意义（P<0.05）;转运相关事件发生率由实施前的25.21%降至实施后的5.19%,差异具有统计学意义（P<0.05）。结论 建立并实施分级色块管理方案,可降低转运风险、提高转运效率,为转运同质化管理提供依据。

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

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.