CAJ | 학술논문

目的：建立急诊危重患者院内转运交接标准作业程序，并探讨标准作业程序在急诊危重患者院内转运交接中的应用效果。方法将标准作业程序应用于急诊危重患者院内转运交接中，比较实施前后交接缺陷及纠纷的发生率、交接记录单书写质量及患者或家属的满意度。结果实施急诊危重患者院内转运交接标准作业程序后交接缺陷与纠纷的发生率由7.01％降低至0.65％，交接记录单的书写合格率由实施前的84.0％提高到98.2％，患者或家属的满意度从90.4％提高到99.1％，差异均有统计学意义（χ2分别为42.89，96.77，59.38；P＜0.01）。结论实施急诊危重患者院内转运交接标准作业程序，规范了急诊危重患者院内转运交接的各个环节的内容和步骤，实现了交接的过程质控。
목적：건립급진위중환자원내전운교접표준작업정서，병탐토표준작업정서재급진위중환자원내전운교접중적응용효과。방법장표준작업정서응용우급진위중환자원내전운교접중，비교실시전후교접결함급규분적발생솔、교접기록단서사질량급환자혹가속적만의도。결과실시급진위중환자원내전운교접표준작업정서후교접결함여규분적발생솔유7.01％강저지0.65％，교접기록단적서사합격솔유실시전적84.0％제고도98.2％，환자혹가속적만의도종90.4％제고도99.1％，차이균유통계학의의（χ2분별위42.89，96.77，59.38；P＜0.01）。결론실시급진위중환자원내전운교접표준작업정서，규범료급진위중환자원내전운교접적각개배절적내용화보취，실현료교접적과정질공。
with intra-hospital transport handover , and to explore its application effect .Methods Handover defects, Objective To establish the standard operating procedure for emergency critically ill patients incidence rate of disputes, quality of writing handover records as well as satisfaction of patients and their families were compared before and after the implementation of standard operating procedure for emergency critically ill patients with intra-hospital transport handover .Results After the implementation of standard operating procedure for emergency critically ill patients with intra-hospital transport handover, the incidence of handover defects and disputes decreased from 7.01%to 0.65%, the pass percentage of writing handover records increased from 84.0%to 98.2% and degree of satisfaction of patient and their families raised from 90.4% to 99.1%, and all the differences were statistically significant (χ2 =42.89, 96.77,59.38, respectively;P<0.01).Conclusions The implementation of standard operating procedure regulates all stages of intra -hospital transport handover for emergency critically ill patients, realizes the quality control of handover , and makes intra-hospital transport handover more standard, safe and efficient.