娄丽娟　王芳　王英

[摘要] 目的 探讨双人核对单在急诊危重患者院内转运中的应用效果。 方法 将双人核对单用于急诊危重患者院内转运，与传统管理模式对比进行分析，比较两组转运不良事件发生率及科室满意率。 结果 观察组危重患者转运不良事件发生率低于对照组，差异有统计学意义（P<0.05）， 在急诊危重患者转运工作满意度七个方面测评中，及时准确通知病区、通知所需物品准备、护送患者准备方面满意度高于对照组，差异有统计学意义（P<0.05）；在转运途中物品准备、携带资料完整性方面满意度高于对照组，差异存在统计学意义（P<0.01）。 结论 双人核对单的使用，有效地保证了急诊危重患者院内转运的安全性。

[关键词] 双人核对单；急诊危重患者；院内转运；安全管理

[中图分类号] R735.2 [文献标识码] B [文章编号] 1673-9701（2017）16-0077-03

[Abstract] Objective To investigate the effect of double checklist on hospital transshipment in critically ill patients. Methods The double checklist was used in the hospital transshipment in emergency critically ill patients， and was compared with the traditional management model. The incidence of adverse events and the satisfaction rate between the two groups were compared. Results The incidence of adverse events in the critically ill patients of the observation group was lower than that in the control group， and the difference was statistically significant（P<0.05）. In the assessment of the satisfaction degree of the emergency critically ill patients transport， the satisfaction degrees of timely and accurately informing the ward， noticing the required items and escort patient preparation were higher than those in the control group，and the difference was statistically significant（P<0.05）. The degrees of preparation of items during transshipment and the completeness of data integrity in the observation group were higher than those in the control group， and the difference was significant（P<0.01）. Conclusion The use of double checklist effectively ensures the safety of hospital transshipment in emergency critically ill patients.

[Key words] Double checklist； Emergency critically ill patients； Hospital transshipment； Safety management

急診科是救治危重患者的专业科室，危重患者为了检查和特殊治疗或住院，不可避免地需要进行院内转运。危重患者院内的安全转运，是保障医疗安全、提高危重患者抢救成功率的重要环节[1]。2015年“患者转运”已被列为美国医疗机构关注的十大患者安全问题之一。危重患者院内转运涉及病情、设备、转运人员等多个环节，转运风险普遍存在[2-4]，如何在转运中维持危重患者的监测和治疗水平，保证患者的医疗安全是目前危重病及急救医学研究的热点[5-6]。笔者制作的双人核对单用于急诊危重患者住院转运前的核对，2013年10月份我院1开始使用，提高了转运的安全性，明显降低了转运不良事件的发生，提高了临床科室对急诊危重患者转运的护理满意度，现报道如下。

1 资料与方法

1.1 一般资料

选择2013年7～12月由急诊科转运的危重患者362名，根据SOFA（sequential organ failure assessment）序贯器官衰竭评分法，评分4分以上的危急重症患者，含单个或多个器官损伤或功能障碍，生命体征不稳定的患者纳入本组病例。……