急诊危重症患者院内转运安全管理最佳证据总结

目的 检索国内外急诊危重症患者院内转运安全管理的相关证据，对最佳证据进行总结，为规范急诊危重症患者院内转运提供参考。 方法 系统检索国内外数据库关于急诊危重症患者院内转运安全管理的相关证据，由2名研究员对文献质量进行独立评价，结合专业人士的判断，对符合标准的文献进行资料提取。 结果 共纳入13篇文献，其中临床决策1篇、证据总结3篇、指南2篇、系统评价4篇、专家意见/专家共识3篇。最佳证据共30条，包括转运设备日常管理、风险评估、转运前准备、转运中监测与治疗、交接与记录、质控与培训6个方面。 结论 本研究总结的最佳证据可为制定急诊危重症患者院内转运方案提供参考。

Evidence summary for safety management of intrahospital critical patient transport from the emergency department

Objective To retrieve and summarize the best evidence on intrahospital transport of critically ill patients from the emergency department, and to provide reference for standardizing intrahospital transport. Methods Relevant evidence regarding intrahospital transport of the critically ill from the emergency department was retrieved in international and national electronic databases, then quality of the literature was assessed independently by two researchers. Data were extracted from the included papers. Results Thirteen papers were included, including 1 clinical decision-making, 3 evidence summaries, 2 guidelines, 4 systematic reviews and 3 expert opinions/consensuses.We summarized 30 pieces of best evidence, including routine management of equipment, risk assessment, preparation for transport, monitoring and treatment during transport, handover and recording, quality control and training. Conclusion Evidence summarized in this study can be used to formulate protocol for intrahospital transport of critically ill patients from the emergency department.