体外膜肺氧合支持危重患者院内转运核查单的编制及应用

目的降低体外膜肺氧合支持危重患者院内转运不良事件发生率。方法成立研究小组,编制体外膜肺氧合支持危重患者院内转运核查单,采用行动研究方法,通过计划、行动、观察及反思2个循环过程,找出核查单在临床应用过程中的问题,不断完善核查单,并比较行动研究前后不良事件发生率。结果临床应用2个循环后,体外膜肺氧合支持危重患者院内转院运不良事件发生率由45.00%下降至18.75%。结论基于行动研究的体外膜肺氧合支持危重患者院内转运核查单的编制及应用能够降低不良事件发生率,保障患者安全。

Development and application of a checklist for intra-hospital transport of the critically ill supported by extracorporeal membrane oxygenation

Objective To reduce adverse events during intra-hospital transport of the critically ill patients undergoing extracorporeal membrane oxygenation (ECMO). Methods A research group was set up to develop a checklist for intra-hospital transport of the critically ill on ECMO. Then a two-cycle action research consisting of plan, act, observe and reflect was employed to identify problems in clinical practice of the checklist and to improve the checklist. The incidence of adverse events was compared before and after the intervention. Results After two-cycle of action research, the incidence of adverse events during intra-hospital transport of the critically ill patients on ECMO decreased from 45.00% to 18.75%. Conclusion Checklist developed through action research for intra-hospital transport of the critically ill on ECMO, can reduce adverse events and guarantee patient safety.